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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603153
Report Date: 09/22/2021
Date Signed: 09/22/2021 05:20:28 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:NEW DAWN ELDERCAREFACILITY NUMBER:
374603153
ADMINISTRATOR:KHURI, SYLVIAFACILITY TYPE:
740
ADDRESS:2350 WARMLANDS AVETELEPHONE:
(760) 758-2204
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:6CENSUS: 0DATE:
09/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Peter Delgadillo, Opeations PersonnelTIME COMPLETED:
03:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Carmen Lopez made an unannounced visit to the facility to conduct an annual required licensing inspection. LPA identified herself and was granted entry by Peter Delgadillo, Operations Personnel. LPA met with Mr. Delgadillo and discussed the purpose of today’s visit.

The facility is currently undergoing a change of ownership (CHOW) and there are currently no clients in care. A tour of the facility was conducted inside and out. The CARE Tool was not conducted during today’s inspection. An overall inspection will be conducted upon the new license approval.

An exit interview was conducted with Mr. Delgadillo. A copy of this report, along with the Licensee Rights (01/2016) were emailed to Sylvia Khuri, Licensee and a cc to the potential new Licensee (CHOW) Kristine Skoglin at the conclusion of the visit. LPA requested for Licensee Khuri to send LPA an electronic message reply confirming receipt of these documents.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Carmen LopezTELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
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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