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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850546
Report Date: 01/14/2026
Date Signed: 01/15/2026 10:32:21 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2025 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20251017122035
FACILITY NAME:SAVANT OF WOODLAND HILLSFACILITY NUMBER:
195850546
ADMINISTRATOR:SIDNEY, KEVANFACILITY TYPE:
740
ADDRESS:21711 VENTURA BLVDTELEPHONE:
(818) 582-5455
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:322CENSUS: 137DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Kevan Sidney and Sofiya ZaretskyTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff do not respond to resident's calls for assistance in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. LPA met with Executive Director (ED) Kevan Sidney. The reason for the visit was explained.

On 10/17/2025, Community Care Licensing Division received the above allegation. It was reported that staff do not respond to residents’ call for assistance timely; resident reported that it took staff over 30 minutes to respond.

On 10/20/2025, LPA conducted a complaint visit to investigate the allegation above. Beginning at approximately 1:45pm, LPA toured the facility with staff and interviewed eight (8) random residents. LPA also interviewed staff and obtained relevant documents.

Regarding allegation: Staff not providing assistance to resident in a timely manner. (Continue to LIC9099c)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 29-AS-20251017122035
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SAVANT OF WOODLAND HILLS
FACILITY NUMBER: 195850546
VISIT DATE: 01/14/2026
NARRATIVE
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Resident interviews revealed 6 of 8 interviewed residents stated they do sometimes wait for extended periods of time for staff to respond. LPA interviews with staff revealed that staff are expected to respond to resident calls for assistance within 5-10 minutes. Staff reported that there are times that residents have to wait for extended periods of time to receive assistance since staff are helping other residents. Staff also stated that the call system does not always function properly, sometimes losing signal and other times they forget to follow through with re-setting residents pendant/alert devices. Review of facility call system records for resident calls from 09/2025-10/2025 revealed pendant calls with response times varying from 5 minutes to over 60+ minutes.

Based on interviews conducted and record review, at this time the above allegation was found to be substantiated, there is a preponderance of the evidence to prove that the alleged violation occurred.

See 9099-D for deficiencies. Exit interview conducted. A copy of the report and appeal rights were issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20251017122035
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAVANT OF WOODLAND HILLS
FACILITY NUMBER: 195850546
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2026
Section Cited
CCR
87468(a)2
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PERSONAL RIGHTS:(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
This requirement is not met as evidence by:
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Executive Director will submit a written plan to ensure residents are assisted in a timely manner.
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Based on interviews and record review, the licensee did not comply with the section cited above. 7 of 8 residents stated they wait over 30 to 60 minutes for staff to respond when pendant or call system is activated. Facility call system records reviewed for 9/2025- 10/2025 revealed pendant calls with
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response times varying from 5 minutes to over 60+ minutes
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2025 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20251017122035

FACILITY NAME:SAVANT OF WOODLAND HILLSFACILITY NUMBER:
195850546
ADMINISTRATOR:SIDNEY, KEVANFACILITY TYPE:
740
ADDRESS:21711 VENTURA BLVDTELEPHONE:
(818) 582-5455
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:322CENSUS: 137DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Kevan Sidney and Sofiya Zaretsky TIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff do not provide adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. LPA met with Executive Director Kevan Sidney. The reason for the visit was explained.

On 10/17/2025, Community Care Licensing Division received the above allegation. It was reported that facility seems to be running out of food; they didn't have any juice at breakfast, another time they didn't have hashbrowns. It was also mentioned that sometimes it's a whole meal that they don't have enough ingredients for so they substituted the meal with pizza.

On 10/20/2025, LPA conducted a complaint visit to investigate the allegation above. Beginning at approximately 1:45pm, LPA toured the facility kitchen with staff and reviewed facility food supply. LPA was provided with a copy of the facility menu. During subsequent visits to the facility, LPA observed a sufficient supply of non-perishable and perishable food supply. (Continue to LIC9099c)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20251017122035
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SAVANT OF WOODLAND HILLS
FACILITY NUMBER: 195850546
VISIT DATE: 01/14/2026
NARRATIVE
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The supply of perishable and nonperishable food observed found it to be adequate and of substantial variety. The LPA observed a variety of meats, fruits, vegetables, grains, and liquids. The facility had a variety of both hot and cold meal options. Eight (8) of eight random residents interviewed reported to be very satisfied with the facility food quality and quantity. Interviews revealed that if a resident does not like a meal, they are offered a different option. In general, interviews revealed minimal complaints as it pertains to adequate food service.

Based on the information obtained, there is insufficient evidence to support the claim that "Staff do not provide adequate food service". This allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5