374604710-7-25-2023-08-AS-DNGN-CU433L-20230725175342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374604710
Report Date: 07/25/2023
Date Signed: 07/25/2023 05:54:05 PM

Document Has Been Signed on 07/25/2023 05:54 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:	NOR DAY ACADEMY		FACILITY NUMBER:	374604710
ADMINISTRATOR:	MCINTYRE, EDWIN		FACILITY TYPE:	775
ADDRESS:	7373 UNIVERSITY AVE., STE. 101		TELEPHONE:	(658) 353-7901
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY: 60		CENSUS: 0	DATE:	07/25/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Applicant's Representatives, Najah "Nick" Rzok and Dr. Edwin "Kent" McIntyre		TIME COMPLETED:	06:00 PM

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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 the applicant's representatives, Najah "Nick" Rzok and Dr. Edwin "Kent" McIntyre.

The facility fire clearance was granted on 06/21/2023 and reflects that the day program facility was approved for sixty (60) 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 representatives, 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 and sinks were in working order. The facility’s ambient internal temperature was complaint at 74 F. Hot water temperature at taps accessible to clients were also compliant: Bathroom #1 sink was 115.7 F, Bathroom #2 sink was 114.9 F, and Bathroom #3 sink was 116.6 F, and Kitchen sink was 120 F.

The day program facility has food/snacks for clients. Kitchen appliances were in working order. Refrigerator temperature was 37 F. (The day program does not have a freezer on site).

[CONTINUED ON LIC 809-C]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023

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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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: NOR DAY ACADEMY	FACILITY NUMBER: 374604710
	VISIT DATE: 07/25/2023

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[CONTINUED FROM LIC 809]

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. 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 day program facility.

Fire safety detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher 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. Rzok and McIntyre was advised that the facility’s application is pending management final review and approval.

An exit interview was conducted with the applicant’s representatives, 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: 07/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023

LIC809 (FAS) - (06/04)

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