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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610403
Report Date: 07/27/2023
Date Signed: 07/27/2023 02:21:18 PM


Document Has Been Signed on 07/27/2023 02:21 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
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:GARDEN OF PALMS LAFACILITY NUMBER:
197610403
ADMINISTRATOR:GINSBURG, MENACHEMFACILITY TYPE:
740
ADDRESS:1025 N FAIRFAX AVETELEPHONE:
(323) 656-7900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:130CENSUS: 0DATE:
07/27/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 PM
MET WITH:Adam Zenou TIME COMPLETED:
11:36 PM
NARRATIVE
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Regional Manager (RM) Angela Kendrick with the Woodland Hills South Adult & Senior Care (ASC) Regional Office, RM Reyna Lacey with the Riverside ASC Regional Office and Bureau Chief Hao Nguyen with Central Applications Bureau held an office meeting with Adam Zenou and Moises Bercovich, CEOs of Fairfax Gardens Operations, LLC via Microsoft Teams.

During the office meeting, RM Kendrick discussed all the facilities Mr. Zenou and Mr. Bercovich own and operate in the Woodland Hills South catchment area which includes the pending application with the Department for Garden of Palms LA for a change of ownership. Mr. Zenou acknowledged he understood the history of the facility. Mr. Zenou reported that the following has been done to assist in managing the facility: contracting with staffing agencies to hire additional staff, hiring of a Wellness Director, executing a new dining contract to improve food and he also identified working with a consultant to ensure conformity to regulations.

RM Kendrick advised on keeping open communication with the Woodland Hills South ASC Regional Office, to allow the Regional Office to provide support and guidance.

An exit interview was conducted where this report was discussed and provided.
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Evelin RiosTELEPHONE: 424-299-6104
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2023
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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