197610366-3-13-2024-31-AS-NMAN-D5KTXM-20240524150721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 03/13/2024
Date Signed: 03/13/2024 03:54:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/14/2024 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20240214144516

FACILITY NAME:	SAVANT OF TARZANA		FACILITY NUMBER:	197610366
ADMINISTRATOR:	JINA MALEKSARKISSIANS		FACILITY TYPE:	740
ADDRESS:	5711 RESEDA BLVD		TELEPHONE:	(818) 996-2022
CITY:	TARZANA	STATE: CA	ZIP CODE:	91356
CAPACITY:	176	CENSUS: 60	DATE:	03/13/2024
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Rita Meldonian		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility is in disrepair
Resident's personal belongings are not being safeguarded
Facility not providing reasonable accommodations for resident

INVESTIGATION FINDINGS:

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At 8:45 a.m. on 03/12/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced, subsequent complaint visit. LPA met with staff and later the Executive Director (ED) and disclosed the reason for the visit.

To investigate the allegations above, LPA , conducted an initial visit on 02/20/2024 and toured the facility at 2:00 p.m., interviewed three (03) out of fifty-three (53) residents between 2:00 p.m. and 3:00 p.m., and interviewed four (04) staff between 3:00 p.m. and 3:30 p.m. LPA called the ED at 3:00 p.m. on 02/22/2024 for an interview. Today, LPA interviewed the ED again at 10:45 a.m.

Regarding the allegation “Facility is in disrepair” it was alleged the lock to the room of Resident #1 (R1) was broken. Interview with Staff #2 (S2) at 3:20 p.m. on 02/20/2024 revealed they work as the facility maintenance person. S2 stated R1 broke their key off in the lock on 02/14/2024. S2 attempted to remove the key with pliers but was unable to.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20240214144516

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAVANT OF TARZANA	FACILITY NUMBER: 197610366
	VISIT DATE: 03/13/2024

NARRATIVE

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S2 went to the store on the following day to purchase and install a new handle and lock. R1 was provided a new key on 02/15/2024. At 2:45 p.m. on 02/20/2024 LPA observed a working door handle, R1’s key, and a secure lock to R1’s door. Based on interviews and observations, R1’s door is secure and working. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “Resident's personal belongings are not being safeguarded” it was alleged that R1’s belongings were not safe while their lock was broken, and R1’s Access card is missing. R1 believed they gave their Access card to an unknown staff member. The facility fixed R1’s lock within a reasonable amount of time of approximately 24 hours. R1 stated nothing had been stolen or missing during that period. LPA’s interviews with staff on 02/20/2024 revealed four (04) out of four (04) staff had no knowledge of the location of R1’s Access card. Interview with Staff #1 (S1) at 3:00 p.m. on 02/20/2024 revealed R1 did not have an Access card and needed to apply for one. Interviews with Staff #3 (S3) at 3:30 p.m. and the ED today at 10:45 a.m. revealed R1 likely gave the card to Staff #4 (S4) who resigned in February 2024. The ED also did not know where R1’s access card was. Based on interviews, the facility safeguarded R1’s belongings. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “Facility not providing reasonable accommodations for resident” it was alleged R1’s roommates smelled of smoke and the facility is not providing R1 with another room or roommate. Interview with S1 confirmed R1’s former roommate was caught smoking on the balcony. The facility addressed the matter and provided R1 with a new room and new roommate. S2 confirmed that the facility provided R1 with a new room and roommate, but the new roommate also smokes. Interview with the ED at approximately 3:00 p.m. on 02/22/2024 revealed R1 did not express any concerns to staff or the ED about the new room and roommate. However, the facility provided R1 with a new room and roommate to meet their needs. Based on interviews, the facility provided reasonable accommodations to R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health and safety risks were observed during this visit.

Exit interview conducted. Appeal rights discussed. Copy of report provided.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

LIC9099 (FAS) - (06/04)

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