Ambrosia Home

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct the facility's Required 1- Year inspection. LPA met with Licensee Helen Ibrahim. LPA stated the purpose of the visit. LPA toured the interior and exterior of the facility with Licensee to include the kitchen, client rooms, dining room, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction. LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed refrigerator temperature at 40 F and Freezer temperature at 0 F. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to clients in care. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 3/14/2025. The facility emergency drill log was reviewed. The facility's last drill was on 9/29/2025. LPA toured 6 resident bedrooms. All 6 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA toured 3 bathrooms. All 3 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature with a range of 110.3 F to 115.5 F. Page 1 of 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA reviewed 3 resident records. LPA reviewed 3 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPA reviewed 3 staff records. No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Licensee Helen Ibrahim and a signed copy of this report was provided.

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection visit at 9:15AM and met with Administrator, Helen Ibrahim. LPA toured the facility inside and out with the Administrator to include the living room, dining room, kitchen, resident bedrooms, bathrooms, and exterior. All emergency exits were observed to be clear of obstruction. LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature maintained at 40 degrees F and freezer maintained at -0 degrees F. LPA observed toxins, sharps and chemicals locked and inaccessible to residents. LPA toured 5 resident bedrooms. 5 out of 5 resident bedrooms had beds, a dresser, functioning lights, storage space for personal belongings, clean bedding, and a chair. LPA measured hot water temperature, range of 105.2 to 112 degrees F for 2 out of 2 resident bathrooms. The facility was equipped with smoke and carbon monoxide detectors. Fire extinguishers were last serviced on 03/13/2024. LPA observed the facility first aid kit, and it was observed to be complete. The facility fire/earthquake drill log was reviewed, and drills are being conducted quarterly. The last fire drill was conducted on 09/2/2024. Facility has emergency disaster plan. LPA reviewed 5 residents Centrally Stored Medication and Destruction Records (CSMDR). 5 out of 5 residents CSMDRs are complete with all medications accounted and documented. LPA observed the medication storage area was locked and inaccessible to residents in care. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA reviewed 5 out of 5 resident records. LPA observed 5 out of 5 resident records to contain identification and emergency contact information, personal rights, TB results and consent forms. 2 out of 5 Residents (R4 and R5) records did not contain updated physician's reports. Administrator stated the R4 and R5 had a physician's reported updated on 10/23/2024. Administrator stated she will obtain the updated reports from the physician. Administrator states she was updating residents charts. LPA advised Administrator that all resident records should be available to the licensing agency to inspect and audit. Administrator stated the physician's reports were updated on 10/23/2024 and would obtain the updated reports by 10/29/2024. LPA reviewed 3 out of 3 staff records. LPA observed 3 out of 3 records as complete to include fingerprint clearance, health screening, TB result, personnel record, and staff training. A Technical Assistance was issued today. See LIC809D. Exit interview was conducted with Administrator Helen Ibrahim. This report was provided to Administrator and appeals rights were provided.

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 11/08/2022 at 03:01pm. LPA met with facility Administrator Helen Ibrahim (Admin). LPA toured the facility, including living room, kitchen, dining room, office, 5 client bedrooms, 3 bathrooms, 1 staff bedroom, and back yard. All staff members observed to be wearing masks. Admin confirmed that all staff and residents have been vaccinated. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizer and soap were observed to be available. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguishers observed to be inspected in March 2022. Facility water temperature observed to be within acceptable levels. Facility temperature observed to be 70*F. Facility observed to have designated entry point. Staff took LPA's temperature and screened for symptoms. 30 day supply of PPE observed. Restrooms observed to be stocked with paper towels. LPA advised Admin to place paper towel rolls in all facility bathrooms. Hand washing signs observed in all bathrooms. Social distancing signs observed to be posted in all public areas. Facility infectious control plan has already been submitted to licensing. No deficiencies cited during today's visit. This report was reviewed with Administrator Helen Ibrahim and a copy of the signed report was provided.