197603652-4-1-2026-31-AS-NGID-DUUPVT-20260608113939

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603652
Report Date: 04/01/2026
Date Signed: 04/01/2026 02:47:07 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/26/2026 and conducted by Evaluator Huma Rahimi

COMPLAINT CONTROL NUMBER: 31-AS-20260326094022

FACILITY NAME:	AMBASSADOR GARDEN		FACILITY NUMBER:	197603652
ADMINISTRATOR:	SOFI DRUKER		FACILITY TYPE:	740
ADDRESS:	7324 CANBY AVENUE		TELEPHONE:	(818) 705-3404
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	158	CENSUS: 70	DATE:	04/01/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Sofi Druker, Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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

INVESTIGATION FINDINGS:

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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

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 04/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026

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

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260326094022

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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
	VISIT DATE: 04/01/2026

NARRATIVE

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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.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 04/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026

LIC9099 (FAS) - (06/04)

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