Ambassador Garden

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tena Herrera arrived unannounced to conduct the required annual inspection, LPA and met with Administrator Sofi Druker, and the purpose for today’s visit was explained. The facility is licensed to serve 158 Ambulatory Residents ages 60 and over, of which 69 Residents may be Non-Ambulatory on the first floor. The facility has an approved Hospice Waiver on file for thirty (3) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: Facility maintains the required Infection Control Plan. Operational Requirements: Facility maintains the required liability insurance and Surety Bond that has an expiration date of 4/1/27. Physical Plant & Environment Safety: LPA toured facility, a total of 10 residents’ bedrooms/units were checked and had the required closet/drawer space to accommodate each resident comfortably available. The resident rooms have signal systems located in each bathroom that were tested an operating properly. There are smoke detectors, carbon monoxide detectors and an emergency sprinkler system throughout the facility that are operable and in compliance. The fire extinguishers were observed throughout the facility and are fully charged. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested throughout the facility resident private bathrooms and measured within the required range of 105-120 degrees. Staffing & Personnel Records-Training: There appears to be sufficient staffing at all times in the facility. Staff have criminal record clearance, current First-Aid/CPR/AED training along with training in postural supports, medication assistance, and other ongoing training are documented in personnel files. Administrator Sofi Druker certificate expires on 3/3/27. LPA reviewed 5 staff files with no issues. (Continued on LIC809-C) Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 9 Resident files with no issues. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted on each floor/section: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility provides scheduled activities with a monthly calendar and the required full-time staff that conduct and evaluate planned activities. There is sufficient space both indoor and outdoor for activities. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Incidental Medical & Dental: Medication is properly labeled and are centrally stored and are in their original containers. A total of 10 Residents medications were reviewed with no issues. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. The last drill was conducted on 5/11/26. Residents with Special Health Needs: Facility admits residents who use oxygen and hospice services. During tour LPA observed the required sinage outside of rooms that have residents that use oxygen. There is currently 1 Resident using hospice services, LPA reviewed both facility file and hospice file with no issues observed. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during todays visit. Exit interview held and a copy of the report was provided to Administrator Sofi Druker.the state’s words, verbatim · CDSS document, Jul 13, 2026

Allegation investigated: Staff does not ensure facility is kept free of pests. Staff do not ensure adequate care and supervision is provided to resident.

At 10:00 AM, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannouncedinitial complaint visit. LPA met with the staff Isabella Litmanovich and the Administrator Sofi Druker was contacted and arrived shortly after. LPA disclosed the reason for the visit. At 10:10 AM, LPA requested resident and staff roster. At approximately 10:15 AM, LPA conducted a physical plant tour of the facility. At 10:20 AM, LPA requested copies of pertinent information which include, but not limited to Physician’s report, Admission Agreement, Appraisal Needs and Services Plan, Staff Training, Incontenence Care Logs, House keeping Logs, etc., relevant to the investigation. Between 10:30 AM – 2:30 PM, LPA interviewed the Administrator, two (2) staff, a housekeeper, a MedTech, and eight (8) residents. Continue on LIC 9099C Unsubstantiated Allegation: Staff does not ensure facility is kept free of pests. It was alleged that facility staff failed to ensure the facility was kept free of pests, specifically that on 03/25/2026, Resident #1’s (R1’s) room was filled with flies. To investigate this allegation, LPA conducted interviews with the Administrator, a MedTech, two (2) staff, the housekeeper, and eight (8) residents, including R1. The Administrator reported that the facility contracts with Conirol Pest Control Company for monthly services and reminded residents to keep doors and windows closed and avoid leaving food out. Staff and the housekeeper reported daily routine cleaning with weekly deep cleaning and confirmed they had not observed pest activity. Residents, including R1, stated they had not seen flies or pests in their rooms or common areas and described the facility as clean and well maintained. On 04/01/2026 at 10:15 AM, during a tour of the facility, LPA did not observe any flies in resident rooms or common areas. Staff were observed performing deep cleaning throughout the facility. Based on interviews, record review, and observations, there was no evidence to support the allegation. Therefore, this allegation is deemed Unsubstantiated at this time. Allegation: Staff do not ensure adequate care and supervision is provided to resident. It was alleged that facility staff failed to provide adequate care and supervision to R1 and that R1 was left without assistance after returning from the hospital on 03/25/2026. To investigate this allegation, LPA conducted interviews with the Administrator, a MedTech, two (2) staff, and eight (8) residents, including R1. Staff reported that residents are assisted with mobility, toileting, and personal care according to their needs, monitored at least every two hours, and immediately assisted upon returning from the hospital. During the interview, R1 stated they feel safe, well cared for, and receive timely assistance with personal care, including incontinence care, typically within approximately ten (10) minutes. Residents interviewed confirmed staff generally respond promptly and no resident is left unattended. LPA reviewed R1’s Appraisal/Needs and Services Plan, confirming R1 is non-ambulatory and requires assistance for incontinence. Incontinence care logs for March 2026 indicate care was provided at least four (4) times daily. On 04/01/2026 at 10:15 AM, during the facility tour, LPA observed staff providing care and timely assistance to residents. Based on interviews, record review, and observations, there was insufficient evidence to support the allegation. Therefore, this allegation is deemed Unsubstantiated at this time. Appeal rights explained and exit interview conducted. Copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Apr 1, 2026 · control 31-AS-20260326094022

Allegation investigated: Staff neglect resulted in resident developing multiple pressure injuries.

At 9:45 AM, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannounced subsequent complaint visit. LPA met with the staff Kristina Papazyan and the Administrator Sofi Druker was contacted and arrived shortly after. LPA disclosed the reason for the visit. An initial visit was conducted on 05/15/2025. At 10:20 AM, LPA requested resident and staff roster. At approximately 10:30 AM, LPA conducted a physical plant tour of the facility. At 10:50 AM, LPA requested copies of pertinent information which include, but not limited to Physician’s report, Admission Agreement, Appraisal Needs and Services Plan, Staff Training, etc., relevant to the investigation. Between 11:00 AM – 1:55 PM, LPA interviewed the Administrator and eight (8) residents. During today's visit, at 10:45 AM, LPA also interviewed Staff #1 (S1). Continue on LIC 9099C Unsubstantiated Staff neglect resulted in resident developing multiple pressure injuries. It is alleged that the facility staff neglected Resident #1 (R1) which resulted in developing multiple pressure wound injuries in the buttocks area with emitting pus and was not receiving home health or hospice services. To investigate this allegation LPA conducted an interview with the Administrator who denied ever retaining a resident with a prohibited health condition. The Administrator also informed LPA that R1 is receiving home health services since his/her admission to the facility and the treatment for the redness on the buttock area since 04/24/2025. However, on 05/12/2025 a small opening was observed by the facility staff on R1’s buttocks area which was immediately reported to R1’s Primary Care Physician (PCP). Subsequently, R1’s PCP advised the Administrator to take R1 to the hospital emergency room (ER) for further evaluation. On 05/13/2025, R1 was transported to ER and R1 was discharged the same day from the hospital. On 05/16/2025, LPA requested and reviewed R1’s hospital medical records and did not observe any medical information to conclude R1’s pressure wound injuries stage. The medical records indicated that R1 has a small ulceration with no necrosis or eschar. Lastly, interviews with R1 and seven (7) other residents revealed that they are happy with the care being provided by the facility staff and never felt neglected. No sufficient evidence was obtained, thus based on interviews and record review this allegation is deemed Unsubstantiated at this time. Exit Interview Conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Jun 9, 2025 · control 31-AS-20250514142748

Allegation investigated: Staff illegally evicted resident in care. Staff did not issue refund to resident or resident's authorized representative.

At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced initial complaint visit to the above facility. LPA met with the staff Ezabella Litmanovich and the Administrator Sofi Druker was contacted and arrived shortly after. LPA disclosed the reason for the visit. During course of the investigation, interviews and record review were made. At 9:35 AM LPA requested resident and staff roster. At 9:45 AM, LPA requested copies of pertinent information which include, but not to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, and etc., relevant to the investigation. At 9:55 AM, LPA conducted a physical plant tour. Between 10:20 AM. – 2:25 PM., LPA conducted an interview with the Administrator, two (2) MedTechs, two (2) staff, Resident #1 (R1) Physician Office Staff, R1's family, and eight (8) out of eight (8) residents. On 04/18/2025, LPA conducted a Community Care Licensing facility file review of the facility’s plan of operation for eviction procedures and policy on refunds. Continue on LIC 9099C Unsubstantiated Staff illegally evicted resident in care. It was alleged that the facility evicted Resident #1 (R1) illegally. To investigate this allegation LPA conducted an interview with the Administrator who denied the allegation. Administrator informed LPA that per R1’s family request a non-emergency ambulance was called to take R1 to the hospital on 04/07/2025. LPA was informed that R1 was not going to return to the facility and the Administrator refunded the prorated monthly payment to R1’s family. LPA contacted R1’s family member who confirmed that R1 still remains in the hospital and as of today date no discharge orders been received. Lastly, during today’s visit LPA observed that R1’s medication and other personal belongings were still present at the facility and R1’s room was still vacant. Therefore, based on interviews, record review, and LPA’s observation this allegation is deemed Unsubstantiated at this time. Staff did not issue refund to resident or resident's authorized representative. It was alleged that the facility refused to refund the full amount of $2,133 to R1's family for R1's stay at the facility from 04/04/2025 to 04/07/2025. To investigate this allegation LPA reviewed and obtained copies of pertinent facility and R1’s records. Furthermore, LPA conducted an interview with the Administrator who informed LPA that upon R1's family request for a refund the Administrator contacted the corporate office to issue a check payable to R1's family in the prorated amount of $1,852.48. Lastly, the check was mailed to R1's family on 04/15/2025. Based on Safety Code 1569.652 and Assembly Bill 261 a refund is to be issued within 15 days after the personal property of a resident has been removed. Therefore, based on the information obtained, the allegation is deemed Unsubstantiated at this time. Exit interview conducted, and a copy of this report was issuedthe state’s words, verbatim · CDSS document, Apr 21, 2025 · control 31-AS-20250417115746

Type of visit: Required - 1 Year

At 9:35 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted at the front desk by the staff Ezabella Litmanovich and later met with the Administrator, Sofi Druker, and explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following: The facility is a two story building with private and shared bedrooms, private bathrooms, kitchen, dining room, recreation rooms, common areas, patios, and outdoor areas. It has an approved fire clearance for 89 ambulatory residents and 69 non-ambulatory residents on the first floor only. Approved hospice waivers for 3. Elevator: The facility had one functioning elevator. LPA observed a posting for the facility’s emergency evacuation routes which was clearly labeled. Bedrooms: LPA and Administrator toured vacant and occupied bedrooms on the first and second floor. LPA observed lamps, nightstands, beds, linens, and private bathrooms with liquid soap, hand towels, and trash cans. Private bathrooms also had grab bars in the showers and around the toilets. Bathrooms: The facility currently has one public restroom on the first floor and two public restrooms on the second floor. The bathroom was sanitary with liquid soap, paper towels, handwashing instruction sign, and a trash can with a tight-fitting lid. At 9:55 AM, LPAs measured the hot water temperature on the first floor to be 120.0F and 118.9F on the second floor. Outside of the bathroom was the facility’s telephone. It is a payphone, but quarters are available free of charge at the front desk. The facility has an additional telephone on the second floor for incoming resident calls. Continue on LIC 809C Fire Safety: LPA observed that the facility has fifteen (15) fire extinguishers, and all were fully charged and last serviced on 01/21/2025. LPA observed all required postings by the front desk of the facility. The facility has fire sprinklers throughout the inside of the facility, resident bedrooms, hallways, dining room, and outdoors as well. At 1:00 p.m. LPA reviewed the most recent fire safety report from the Los Angeles Fire Department conducted on 02/17/2025. All systems were functional and passed inspection. At 1:10 p.m. LPA tested the call system in Room #115 to be functional. Staff responded to the call within thirty (30) seconds. Between 12:00 PM to 1:30 PM, LPA reviewed records of eight (8) resident and four (4) staff. Resident and staff records appeared to be complete and updated. No deficiency cited during today’s visit. Exit interview conducted and copy of this report signed and delivered. Common Areas: All floors, walls, and ceilings were clean. Furniture in the dining room, lounges, living room, and activity room were clean and in good repair. Hand sanitizer was readily available. Facility posted the most recent Community Care Licensing (CCL) Provider Information Notice at the front desk, along with recent CCL reports, an activity schedule, resident rights poster, and a confidential complaint hotline. At 10:00 AM LPA measured the room temperature to be 70 F downstairs and 73 F upstairs. Outdoor Space: LPA and Administrator toured the outside space. One gazebo was designated for resident smoking, had ashtrays, and were at least 20 feet from buildings. LPA observed two (2) locked storage sheds which contained gardening tools in parking lot area. Sufficient space was available for activities. LPA walked on the south side of the facility’s exterior and tested an exit door which was unlocked from the inside. LPA observed an electronic gate on the north side of the facility’s exterior which led to the employee parking lot. Laundry: In the back parking lot, LPA observed a laundry room with two (2) washers and two (2) dryers. Detergents were locked in a closet. Medication Room: LPA observed a locked Medication Room and met with a Med Tech who supervised and dispensed medication. Storage: LPA observed a storage room with sufficient emergency food and water supplies. LPA also observed a locked maintenance room with cleaning supplies. LPA observed an additional, locked storage room on the second floor designated for PPE. Kitchen: LPA observed menus outside of the kitchen and dining room. Menus applied to typical and diabetic diets. The kitchen floors and surfaces were clean, and all food was sealed and labeled. Cleaning supplies remained by the dishwashing area and were not stored with food. The dining room contained tables with designated seating with labels for residents with special diets. Continue on LIC 809Cthe state’s words, verbatim · CDSS document, Mar 10, 2025

Type of visit: Case Management - Other

At 2:00 PM Licensing Program Analyst (LPA) Huma Rahimi conducted a case management visit to the facility to check on the safety and wellness of the Eaton Fire evacuated residents from Inn at the Park Ventura with the license number 197609623. LPA met with the Administrator Sofi Druker and explained the reason for the visit. LPA and the Administrator conducted a physical plant tour of the facility to ensure there are no immediate health and safety issues . LPA was informed that the residents from Inn at the Park Ventura did not move in to the above facility and LPA did not observe any evacuated residents at the time of the visit. No immediate health and safety issues were noted. No further action is necessary at this time. Exit Interview conducted. Copy of report issued.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Required - 1 Year

At 10:00 AM Licensing Program Analysts (LPAs), Huma Rahimi, and Nicholas Reed, conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted at the front desk by the staff Ezabella Litmanovich and later met with the Administrator, Sofi Druker, and explained the reason for the visit. Physical tour was conducted with the Administrator and LPAs observed the following: The facility was last visited on 03/19/2024, for a complaint visit. The facility is a two story building with private and shared bedrooms, private bathrooms, kitchen, dining room, recreation rooms, common areas, patios, and outdoor areas. It has an approved fire clearance for 89 ambulatory residents and 69 non-ambulatory residents on the first floor only. Approved hospice waivers for 3. Elevator: The facility had one functioning elevator. LPAs observed a posting for the facility’s emergency evacuation routes which was clearly labeled. Bedrooms: LPAs and Administrator toured vacant and occupied bedrooms on the first and second floor. LPAs observed lamps, nightstands, beds, linens, and private bathrooms with liquid soap, hand towels, and trash cans. Private bathrooms also had grab bars in the showers and around the toilets. Bathrooms: The facility currently has one public restroom on the first floor and two public restrooms on the second floor. The bathroom was sanitary with liquid soap, paper towels, handwashing instruction sign, and a trash can with a tight-fitting lid. At 10:20 AM, LPAs measured the hot water temperature on the first floor to be 106.8F and 111.7F on the second floor. Outside of the bathroom was the facility’s telephone. It is a payphone, but quarters are available free of charge at the front desk. The facility has an additional telephone on the second floor for incoming resident calls. Continue on LIC 809C Common Areas: All floors, walls, and ceilings were clean. Furniture in the dining room, lounges, living room, and activity room were clean and in good repair. Hand sanitizer was readily available. Facility posted the most recent Community Care Licensing (CCL) Provider Information Notice at the front desk, along with recent CCL reports, an activity schedule, resident rights poster, and a confidential complaint hotline. At 10:35 AM LPAs measured the room temperature to be 73F. Outdoor Space: LPAs and Administrator toured the outside space. One gazebo was designated for resident smoking, had ashtrays, and were at least 20 feet from buildings. LPAs observed two (2) locked storage sheds which contained gardening tools in parking lot area. Sufficient space was available for activities. LPAs walked on the south side of the facility’s exterior and tested an exit door which was unlocked from the inside. LPAs observed an electronic gate on the north side of the facility’s exterior which led to the employee parking lot. Laundry: In the back parking lot, LPAs observed a laundry room with two (2) washers and two (2) dryers. Detergents were locked in a closet. Medication Room: LPAs observed a locked Medication Room and met with a Med Tech who supervised and dispensed medication. Med Tech informed LPAs that all residents have at least a 30 day supply of medication. Storage: LPAs observed a storage room with sufficient emergency food and water supplies. LPAs also observed a locked maintenance room with cleaning supplies. LPAs observed an additional, locked storage room on the second floor designated for PPE. Kitchen: LPAs observed menus outside of the kitchen and dining room. Menus applied to typical and diabetic diets. The kitchen floors and surfaces were clean, and all food was sealed and labeled. Cleaning supplies remained by the dishwashing area and were not stored with food. The dining room contained tables with designated seating with labels for residents with special diets. Continue on LIC 809C Fire Safety: LPAs observed that the facility has fifteen (15) fire extinguishers, and all were fully charged and last serviced on 11/29/2023. LPAs observed all required postings by the front desk of the facility. The facility has fire sprinklers throughout the inside of the facility, resident bedrooms, hallways, dining room, and outdoors as well. At 12:45 p.m. LPAs reviewed the most recent fire safety report from the Los Angeles Fire Department conducted on 12/04/2023. All systems were functional and passed inspection. At 1:00 p.m. LPAs tested the call system in Room #207 to be functional. Staff responded to the call within thirty (30) seconds. LPAs observed that one screen door was not in good repair. LPAs also observed that the fire door glass was cracked. Between 1:00 PM to 2:30 PM, LPAs reviewed records of seven (7) resident and four (4) staff. Resident and staff records appeared to be complete and updated.the state’s words, verbatim · CDSS document, Apr 25, 2024

Allegation investigated: Staff yelled at resident while in care Staff did not ensure that resident received assistance while in care

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to further investigate the above allegations. LPA met with Administrator Sofi Drucker and explained the reason for the visit. LPA conducted a physical plant tour at 9:12 AM, requested copies of facility documents relevant to the investigation at 9:42 AM, reviewed facility documents between 10:00 AM and 11:000 AM and interviewed staff and residents between 11:00 AM to 1:00 PM. Regarding the allegation that staff yelled at resident while in care, it was alleged that a staff yelled at Resident #1 (R1). LPA's interview with eight (8) residents or more than 10% of the current census on 09/22/23 between 10:50 AM to 11:45 AM and today between 11:00 AM to 1:00 PM revealed that eight (8) out of eight (8) residents did not experience being yelled at by any staff nor witnessed any resident being yelled at by any staff. LPA's interview with the administrator today at 11:35 AM also revealed that whenever she used the public address (PA) system for general address, she has to talk loud because some of the residents are hard of hearing. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) Further interviews with staff also revealed that R1 was also hard of hearing so people around R1 including staff tend to talk loudly and near R1. Regarding the allegation that staff did not ensure that residents received assistance while in care, it was alleged that whenever R1 calls via intercom, staff do not respond. LPA's interview with eight (8) residents or more than 10% of the current census on 09/22/23 between 10:50 AM to 11:45 AM and today between 11:00 AM to 1:00 PM revealed that eight (8) out of eight (8) residents the staff provided all the care they need and staff are respectful and attentive. All eight (8) residents interviewed also stated that staff respond to their calls almost immediately or within ten (10) minutes. Based on the information gathered during this and prior visits, the allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Mar 19, 2024 · control 31-AS-20230919091551