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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 01/29/2025
Date Signed: 01/29/2025 03:46:54 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
12/13/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20241213144009
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: 88DATE:
01/29/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Marilou MendozaTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Resident is smoking close to the facility
INVESTIGATION FINDINGS:
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At 11:00 a.m. on 01/29/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced, subsequent complaint visit. LPA met with staff and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 12/20/24 and interviewed staff and residents between 3:35 p.m. and 4:10 p.m. and toured the facility inside and out at 4:00 p.m. LPA conducted a subsequent visit on 01/24/25 and interviewed staff and residents between 2:00 p.m. and 3:30 p.m. and toured the facility inside and out at 2:30 p.m. Today, LPA toured the facility at 11:10 a.m. and interviewed Resident #1 (R1) at 12:15 p.m.

Regarding the allegation "Resident is smoking close to the facility" it was alleged R1 smokes too close to the facility entrance, and the smoke enters the building and affects residents. The facility was issued a deficiency on 10/18/24 for not preventing residents from smoking in non-designated areas.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
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-20241213144009
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: 01/29/2025
NARRATIVE
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A plan of correction was submitted indicating the designated smoking area would be upgraded, and staff were trained to monitor and report residents who smoked outside of designated areas. Interview with the administrator at 3:15 p.m. on 01/24/25 revealed the facility’s designated smoking area is around the corner from the main entrance. Hedges were installed to provide resident safety and comfort while smoking. Facility tours on 01/24/25 and today confirmed that hedges were installed. LPA observed three (03) residents smoking in the designated area around 2:30 p.m. on 01/24/25. LPA observed one (01) resident using the designated area today. LPA did not observe residents smoking outside of designated areas during tours on 12/20/24, 01/24/25, or today. Interview with Staff #1 (S1) at 3:40 p.m. on 12/20/24 who works at the reception area at the main entrance revealed they had not detected any smoke in the facility since the facility instituted the new smoking guidelines. LPA interviewed nine (09) residents out of ninety (90), or 10% of residents, on 12/20/24, 01/25/24, and today. Four (04) out of nine (09) residents were chronic smokers and confirmed that facility staff instructed residents to smoke only in the designated area. Nine (09) out of nine (09) residents interviewed revealed they were not bothered by smoke in the facility or people smoking too close to the entrance. Interview with R1 revealed they had spoken with the administrator about smoking in designated areas and received a written warning. R1 did not think their smoke carried into the facility and did not detect it indoors. Based on observations and interviews, although the allegation is valid, there is insufficient evidence to verify that a resident is smoking too close to the facility and affecting others. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2