197610366-1-9-2025-31-AS-NMAN-DF4S5Q-20250325133442

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 01/09/2025
Date Signed: 01/09/2025 05:42:47 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
11/08/2024 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20241108111151

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: 89	DATE:	01/09/2025
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Carmelita Roxas		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility not providing a comfortable environment
Facility not following reporting requirements
Facility not ensuring resident belongings are safeguarded

INVESTIGATION FINDINGS:

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At 10:20 a.m. on 01/09/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 11/08/24 and interviewed residents and staff between 2:30 p.m. and 3:45 p.m. and toured the facility inside and out at 3:45 p.m. Today, LPA interviewed staff and at least ten percent (10%) of residents, or ten (10) out of 90 residents, between 10:45 a.m. and 1:00 p.m. and toured the facility at 10:45 a.m.

Regarding the allegation "Facility not providing a comfortable environment” it was alleged Resident #1 (R1) had verbally harassed Resident #2 (R2) and other residents while staff did nothing about it. Interview with Resident #3 (R3) at 2:40 p.m. on 11/08/24 confirmed they had been harassed by R1 and staff had not helped them.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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-20241108111151

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: 01/09/2025

NARRATIVE

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R2 noted they did not report the incident to staff. At approximately 3:00 p.m. on 11/08/24, LPA witnessed R1 walk outside and R2 yell at and attempt to fight R1. Staff intervened before an altercation could occur. Interview with the administrator at 3:30 p.m. on 11/08/24 revealed a resident did report concerns with R1 to the administrator, so the administrator spoke to R1 to remind them of house rule and to respect others. Interview with R1 at 3:15 p.m. on 11/08/24 revealed they had not verbally harassed R2 or any other residents. Interviews with staff and nine (09) out of ten (10) residents today revealed they had not been harassed by or heard of concerns with R1. LPA did not observe any negative behavior from R1 during today’s visit. Based on interviews and observations, the facility provided a comfortable environment to residents in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Facility not following reporting requirements" it was alleged the administrator did not report previous incidents involving R1 and R2. Interview with the administrator revealed R2 had not previously reported any problems with R1. The administrator continued by showing a final written warning for R2 for their behavior and property destruction at the facility. Interview with R1 at approximately 2:45 p.m. on 11/08/24 confirmed that they had not told the administrator about R1’s harassment because they believed the administrator would not do anything about it. Based on interviews and record review, the facility never received a report from R2 and therefore had nothing to report. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Facility not ensuring resident belongings are safeguarded" it was alleged R1 has a master key to all resident rooms and took resident belongings. Interview with R1 revealed they did not have such a key and have not stolen anything. Interview with the administrator revealed they had not received any repots of stolen items from residents. Interview with Resident #3 (R3) at 12:20 p.m. today and Resident #4 (R4) at 11:30 a.m. today revealed they had items stolen and suspected R1 of stealing them. Eight (08) out of ten (10) other residents interviewed today revealed they had not had anything stolen and did not suspect R1 as a thief. Based on interviews and observations, although some residents may have had items go missing and believe R1 to have stolen them, there is insufficient evidence to verify the allegation. Therefore, the facility is sufficiently safeguarding resident belongings and the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety concerns observed during today’s visit.
Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

LIC9099 (FAS) - (06/04)

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