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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 05/01/2025
Date Signed: 05/01/2025 05:22:19 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
03/14/2025 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20250314161713
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: 91DATE:
05/01/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Narine MertkhanyanTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Facility staff did not ensure resident's call pendant worked
INVESTIGATION FINDINGS:
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At approximately 9:30 a.m. on 05/01/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit in conjunction with an annual inspection. LPA met with the administrator and disclosed the reason for the visit.

To investigate the allegation above, LPA conducted an initial visit on 03/18/25 and interviewed staff and residents between 10:15 a.m. and 4:15 p.m., toured the facility at 10:40 a.m., and conducted a record review of pertinent records, including but not limited to staff and client rosters at 1:45 p.m.

Regarding the allegation "Facility staff did not ensure resident's call pendant worked" it was alleged Resident #1 (R1) pushed their pendant three (03) times without receiving staff assistance. Interview with R1 at 10:30 a.m. on 03/18/25 revealed staff resolved the issue by providing a new telephone to call the front desk. R1 also noted that their pull cord near their bed was and has been operable. R1’s pull cord and phone were tested at 10:40 a.m. on 03/18/25 and deemed functional.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025
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-20250314161713
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: 05/01/2025
NARRATIVE
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Interview with the administrator at 11:00 a.m. on 03/18/25 revealed they were not aware of any issue with pendants. The facility recently switched their call system from resident pendants to a bedside telephone which directly calls the front desk. Interview with Staff #1 (S1) at 12:30 p.m. on 03/18/24 confirmed R1 has not had any issues after the call system update. Between 10:30 a.m. and 2:00 p.m. on 04/20/25, LPA and the administrator tested the facility call system. The facility call system was deemed operational after testing. Based on observations and interviews, facility staff ensured R1 had access to a functional call system through their pull cord and a new phone. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health and safety concerns were 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: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2