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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 06/20/2024
Date Signed: 06/20/2024 03:01:28 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
03/05/2024 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20240305091617
FACILITY NAME:SAVANT OF TARZANAFACILITY NUMBER:
197610366
ADMINISTRATOR:RITA MELDONIANFACILITY TYPE:
740
ADDRESS:5711 RESEDA BLVDTELEPHONE:
(818) 996-2022
CITY:TARZANASTATE: CAZIP CODE:
91356
CAPACITY:176CENSUS: 72DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Rita LimarTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Facility issued improper rent increase notice
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegation. LPA met with Business Office Manager, Rita Limar, and explained the reason for the visit.

It was alleged that a rental increase letter issued in November 2023 does not comply with Title 22 regulations. To investigate the allegation, on 03/06/2024, LPA requested documents at 10:30 AM, interviewed one (01) staff between 11:45 AM to 12:30 PM and interviewed thirteen (13) residents between 1:00 PM – 3:00 PM. A review of the facility’s Admissions Agreement states, “The facility reserves the right to increase the basic monthly fee, its rate structure for services including its fees for its level of care by providing a 60-day written notice. The notice, sent to the resident and responsible person will plainly specify the reason for the increase and a general description of the factors for the increase.” This statement from the Admissions Agreement is in accordance with Health and Safety Codes.
(CONT. on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye DugumaTELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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 2
Control Number 31-AS-20240305091617
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: 06/20/2024
NARRATIVE
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A review of the letter sent to Resident #1 (R1) was dated in November 2023 stating that a rate increase would take effect February 2024 and provided a general reason for the increase. During interview with staff, Staff #1 (S1) stated they provided the letters to R1 more than 60-days in advance and explained the reason for the increase. All residents stated that they did receive the letter with a 60-day notice.

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

No health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye DugumaTELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2