374604379-7-26-2023-08-AS-DNGN-CU4UTD-20230726155148

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374604379
Report Date: 07/26/2023
Date Signed: 07/26/2023 03:52:10 PM

Document Has Been Signed on 07/26/2023 03:52 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME:	ALNOOR ADULT DAY HEALTHCARE CENTER		FACILITY NUMBER:	374604379
ADMINISTRATOR:	ABDULNOOR, NAWAR		FACILITY TYPE:	775
ADDRESS:	905 W MAIN ST		TELEPHONE:	(619) 402-5570
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY: 90		CENSUS: 0	DATE:	07/26/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Applicant's Representative, Administrator Nawar Abdulnoor		TIME COMPLETED:	04:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the day program’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to applicant’s representative, Administrator Nawar Abdulnoor. The facility fire clearance was granted on 04/25/2023 and reflects that the day program facility was approved for ninety (90) clients in total, of which all must be ambulatory. The fire clearance did not include endorsements for delayed-egress doors or secured perimeter, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the day program facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Toilets, sinks, and shower were in working order. The facility’s ambient internal temperature was complaint at 74 degrees F. Hot water temperature at taps accessible to clients were also compliant: Kitchen sink was 118.9 F, Men's Restroom sink was 117 F, Women's Restroom sink was 116.4 F, and Unisex Restroom sink was 118 F. The day program facility has enough food and drink for client use. Kitchen appliances were in working order. Kitchen Refrigerator temperature was 39 F, Kitchen Freezer temperature was 0 F, and Medication Room Refrigerator temperature was 39 F. The facility has sufficient space and equipment to facilitate visitation, meetings, and client activities. The facility has locked areas for storage of medication and confidential client and staff records. [CONTINUED ON LIC 809-C]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ALNOOR ADULT DAY HEALTHCARE CENTER	FACILITY NUMBER: 374604379
	VISIT DATE: 07/26/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

[CONTINUED FROM LIC 809]

No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Per the applicant, no firearms or ammunition are or will be stored at the facility.

Fire detection systems, emergency lighting, and facility telephone were all operational. Fire extinguishers were serviced within the last 12 months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility.

The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection.

LPA also provided the Component III Training during today’s visit. Abdulnoor was advised that the facility’s application is pending management final review and approval.

An exit interview was conducted with the applicant’s representative, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2