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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610403
Report Date: 11/12/2024
Date Signed: 11/12/2024 01:25:10 PM

Document Has Been Signed on 11/12/2024 01:25 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:GARDEN OF PALMS LAFACILITY NUMBER:
197610403
ADMINISTRATOR/
DIRECTOR:
HIRSCH,RENAFACILITY TYPE:
740
ADDRESS:1025 N FAIRFAX AVETELEPHONE:
(323) 656-7900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY: 130CENSUS: 108DATE:
11/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Adam Syncheff, Executive Director TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) Huma Rahimi and Angela Panushkina, conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20240215114434. LPAs met with the Executive Director and explained the reason for the visit.

On 02/15/2024 the Regional Office (RO) received a complaint and on 02/20/2024, LPA conducted an initial complaint visit. On 07/16/2024, LPAs conducted a subsequent visit to deliver a report. During that time one of the allegations': "Staff are not providing laundry services to resident" was found SUBSTANTIATED.

LPAs were unable to Amend the original report from 07/16/2024. Thus, a Case Management is conducted for an additional information to be added to clarify the investigation.

Allegation: "Staff are not providing laundry services to resident"
It is alleged that the facility is not providing laundry services. To investigate this allegation LPA conducted interviews with Executive Director and Housekeeper who informed LPA that the facility does provide laundry services on weekly basis to all residents in care. Additionally, LPA was informed that the facility has a set schedule for each floor of the facility. Review of facility Admission Agreement confirmed that the laundry is part of basic services and are provided to all residents. Lastly, during the subsequent visit, LPAs toured the laundry area and observed all washers and dryers running and multiple baskets with residents clothes were also observed. Based on interviews, record review and LPAs observation, LPA have found that the complaint was Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. LPA have therefore dismissed the above allegation.

Exit interview conducted, appeal rights and copy of report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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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