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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197603652
Report Date:
01/10/2025
Date Signed:
01/10/2025 02:50:42 PM
Document Has Been Signed on
01/10/2025 02:50 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
WOODLAND HILLS S.RO
,
21731 VENTURA BLVD., STE. 250
WOODLAND HILLS
,
CA
91364
FACILITY NAME:
AMBASSADOR GARDEN
FACILITY NUMBER:
197603652
ADMINISTRATOR/
DIRECTOR:
SOFI DRUKER
FACILITY TYPE:
740
ADDRESS:
7324 CANBY AVENUE
TELEPHONE:
(818) 705-3404
CITY:
RESEDA
STATE:
CA
ZIP CODE:
91335
CAPACITY:
158
TOTAL ENROLLED CHILDREN:
0
CENSUS:
71
DATE:
01/10/2025
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:
Sofi Druker, Administrator
TIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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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.
Nichelle Gillyard
TELEPHONE:
(818) 596-4370
Huma Rahimi
TELEPHONE:
(818) 304-2399
DATE:
01/10/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/10/2025
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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