Office review·July 20, 2023

Component II completion: Successful Facility Type: Residential Care Facility for Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity 6 Census (if any clients in care): none COMP II Participants: Deborah Cassar, Applicant Interview Method: COMP II Waiver On July 20, 2023, applicant participated in COMP II. Identification of the applicant was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. During COMP II, CAB analyst confirmed Applicant’s understanding of following areas: 1. Facility Operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readiness Note: COMP II waived for this facility. Previous COMPONENT II conducted on July 19, 2023 with Homelife Senior Living 7 - 565850371. Report for this facility sent to Applicant to sign and return to CAB by end of business day.