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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019201305
Report Date: 02/21/2025
Date Signed: 02/21/2025 02:39:18 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/21/2025 02:39 PM - It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:ELM HURST INTERNATIONAL CARE FACILITYFACILITY NUMBER:
019201305
ADMINISTRATOR/
DIRECTOR:		ABDULLAH, HANEEFFACILITY TYPE:
735
ADDRESS:8728 INTERNATIONAL BLVD.TELEPHONE:
(510) 506-3578
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY: 2CENSUS: 0DATE:
02/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Haneef Abdullah, AdministratorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 2/21/25 at 2:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived to conduct 1-Year Annual Required inspection. LPA met with Haneef Abdullah, Administrator and explained the purpose of the visit. There are currently no residents at this facility.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70-degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the kitchen sink was measured at 115.0 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene itemswas available for clients.

Smoke detectors, fire extinguisher and carbon monoxide were in operating condition during visit. Emergency Disaster Plan was last posted on 2/21/25. First aid kit was observed to be complete.

No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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