197610366-5-30-2024-31-AS-NMAN-D6LTFK-20240626144139

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 05/30/2024
Date Signed: 05/30/2024 03:22:56 PM

Unsubstantiated

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., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/29/2024 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20240229083546

FACILITY NAME:	SAVANT OF TARZANA		FACILITY NUMBER:	197610366
ADMINISTRATOR:	RITA MELDONIAN		FACILITY TYPE:	740
ADDRESS:	5711 RESEDA BLVD		TELEPHONE:	(818) 996-2022
CITY:	TARZANA	STATE: CA	ZIP CODE:	91356
CAPACITY:	176	CENSUS: 75	DATE:	05/30/2024
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Rita Meldonian		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are not providing housekeeping services for residents.
Staff are not providing adequate food service to residents.
Staff did not ensure the facility was free from rodents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to this facility to investigate the above allegations. LPA met with Executive Director, Rita Meldonian, and explained the reason for the visit.

---Staff are not providing housekeeping services for residents.

It was alleged that the facility is not providing housekeeping and residents are having to clean themselves. To investigate the allegation on 03/06/2024, LPA requested documents at 10:30 AM, interviewed four (04) staff between 11:45 AM to 1:00 PM and interviewed thirteen (13) residents between 1:00 PM – 3:00 PM. A review of the facility’s staff schedule shows that facility has one (01) housekeeper per shift for both the morning and afternoon shifts. During interviews with staff, all staff stated that facility provides housekeeping services to residents once per week and caregivers clean daily.
(CONT. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

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 3

Control Number 31-AS-20240229083546

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., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAVANT OF TARZANA	FACILITY NUMBER: 197610366
	VISIT DATE: 05/30/2024

NARRATIVE

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During interviews with residents, nine (11) out of thirteen (13) residents stated facility provides housekeeping service once a week and the remaining two (02) stated they do not bother with housekeeping and do it themselves. Resident #1 (R1) added they clean it well and Resident #10 stated that they do not do a very good job of cleaning.

Based on record review and interviews there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff are not providing adequate food service to residents.

It was alleged that the facility serves food that is not nutritious and well balanced. To investigate the allegation on 03/06/2024, LPA requested documents at 10:30 AM, conducted a physical plant tour at around 10:45 AM, interviewed four (04) staff between 11:45 AM to 1:00 PM and interviewed thirteen (13) residents between 1:00 PM – 3:00 PM. A review of the facility’s menu indicates residents are offered well balanced and nutritious meals with options to choose from. During the physical plant tour, LPA observed well balanced and nutritious foods available and being prepared. LPA also observed records for residents that have special diets. During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated, they meet with the resident council once a month, and residents did not have anything to say about the food during their last meeting. All remaining staff stated they do not know as it is beyond their purview. During interviews with residents, five (05) out of thirteen (13) residents stated that the food is not nutritious and well balance. All other residents, including Resident #1 (R1), stated the facility offers well balanced and nutritious meals.

Based on record review and interviews there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff did not ensure the facility was free from rodents.

It was alleged that the facility has rodents and rodent droppings. To investigate the allegation on 03/06/2024, LPA conducted a physical plant tour at around 10:45 AM, interviewed four (04) staff between 11:45 AM to 1:00 PM and interviewed thirteen (13) residents between 1:00 PM – 3:00 PM. (CONT on LIC. 9099-C)

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20240229083546

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., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAVANT OF TARZANA	FACILITY NUMBER: 197610366
	VISIT DATE: 05/30/2024

NARRATIVE

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During the physical plant tour, LPA did not observe any rodents or rodent droppings. During interviews with staff, all staff stated they have never witnessed rodents or rodent droppings in the facility. During interviews with residents, twelve (12) out of thirteen (13) residents stated they have never witnessed rodents or rodent droppings in the facility. One (01) out of thirteen (13) residents stated they witnessed rodents and rodent droppings.

Based on observations and interviews there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No other health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

LIC9099 (FAS) - (06/04)

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