Senior Care Records.

Facility Evaluation Report

Ambassador Care Home, Antioch04/15/2025Licence 079200582

Capacity6
Census3
Date signed04/15/2025 05:29:35 PM
Name of licensing program analystLaura Hall
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 4/15/2025 at 2:50pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Mbidde Nuhun, unfingerprinted staff (S2). LPA spoke with Administrator, Raufat Ikharo-Umaru, via telephone. Administrator arrived at the facility at 4:35pm.

While LPA L. Hall was conducting a complaint investigation (15-AS-20241104220736) on 4/15/2025. Upon arrival LPA met with S2 at facility that was not able to communicate in English. Further investigation divulged S2 person was not fingerprinted or associated to the facility.

*An immediate civil penalty of $100.00 will be assessed on today's day for fingerprint clearance*

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. A copy of the LIC421BG, appeal rights, and this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction