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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 09/04/2025
Date Signed: 09/04/2025 05:06:20 PM

Substantiated


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
02/05/2025 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20250205150035
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: 103DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Narine MertkhanyanTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff are not meeting residents laundry needs
INVESTIGATION FINDINGS:
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At approximately 8:45 a.m. on 09/04/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.

To investigate the allegation above, LPA conducted an initial visit on 02/06/25 and interviewed staff and residents between 10:45 a.m. and 3:15 p.m., toured the facility at 11:15 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at approximately 12:00 p.m. LPA conducted a subsequent visit on 02/07/25 and interviewed staff and residents between 11:05 a.m. and 3:00 p.m. and toured the facility at 11:15 a.m. Today, LPA toured the facility at 9:00 a.m.

Regarding the allegation "Staff are not meeting residents laundry needs" it was alleged the laundry of Resident #1 (R1) was not cleaned for three (03) weeks. At 12:30 p.m. on 02/07/25, LPA’s tour of the facility revealed that R1 had a basket full of laundry as well as a pile of soiled blankets in their closet.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
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 6
Control Number 31-AS-20250205150035
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: 09/04/2025
NARRATIVE
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Interview with Visitor #1 (V1) at 12:35 p.m. on 02/07/25 revealed staff put the soiled sheets in the corner of R1’s closet since the laundry basket was overflowing. LPA smelled a faint odor of urine coming from the soiled sheets. Interview with a previous administrator revealed they received a report from S2 that there was a resident who did not receive laundry service in a timely manner. Staff #5 (S5) was the normal laundry staff at the facility, and Staff #6 (S6) was supposed to clean the laundry while S5 was out of the facility. Interview with S2 revealed that “2-3 residents have piles of laundry” in their rooms. Interview with S5 at 12:15 p.m. on 02/06/25 revealed they were hired a few weeks prior to clean laundry after the previous laundry staff left. S5 showed LPA the laundry schedule and stated R1’s laundry is scheduled to be cleaned on Sundays. The facility does not wash laundry on Fridays or Saturdays. When residents soil their sheets, the facility provides fresh sheets, though the resident may have to wait until their scheduled laundry day to have their linens cleaned due to the laundry schedule being full. S5 confirmed that two (02) weeks prior, around 01/27/25, they called out from work and left a note for S6 to do R1’s laundry. When S5 returned to work, they noticed R1’s laundry was not washed. R1 had to wait another week for laundry service due to a full laundry schedule. Based on observations, interviews, and record review, staff did not meet R1’s laundry needs. Therefore, the allegation is deemed SUBSTANTIATED at this time. Deficiency cited on the LIC 9099-D page.

No immediate health or safety hazards observed during today’s visit.

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

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6
Control Number 31-AS-20250205150035
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2025
Section Cited
CCR
87307(a)(3)(F)
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87307 Personal Accommodations and Services (a) ... The following provisions shall apply: (3)... the licensee shall assure provision of: (F) Basic laundry service (washing, drying, and ironing of personal clothing). This requirement was not met as evidenced by:
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Licensee has changed the laundry schedule and added two (02) additional laundry days to ensure all resident laundry is completed weekly or as needed. Deficiency cleared.
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Based on observations, interviews, and record review, the licensee did not comply with the section cited above in at least one (01) resident's laundry not being complete for over a week which posed a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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
02/05/2025 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20250205150035

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: 103DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Narine MertkhanyanTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff did not ensure the facility phones are answered.
Staff are not ensuring the facility is kept clean
Staff did not ensure there is an activities director
Staff did not ensure resident's shower was not in disrepair
INVESTIGATION FINDINGS:
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At approximately 8:45 a.m. on 09/04/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.

To investigate the allegation above, LPA conducted an initial visit on 02/06/25 and interviewed staff and residents between 10:45 a.m. and 3:15 p.m., toured the facility at 11:15 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at approximately 12:00 p.m. LPA conducted a subsequent visit on 02/07/25 and interviewed staff and residents between 11:05 a.m. and 3:00 p.m. and toured the facility at 11:15 a.m. Today, LPA toured the facility at 9:00 a.m.

Regarding the allegation "Staff did not ensure the facility phones are answered" it was alleged staff do not answer the facility phone and callers cannot contact residents by phone. LPA called the facility telephone on 02/06/25 at 8:29 a.m. and 8:55 a.m.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 31-AS-20250205150035
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: 09/04/2025
NARRATIVE
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LPA’s first call was not answered. LPA was unable to leave a voicemail because the voicemail inbox was full. Staff #1 (S1) answered the call at 8:55 a.m. LPA also called the facility phone at 8:33 a.m. and 8:34 a.m. on 02/07/25. LPA’s call at 8:33 a.m. was not answered, and the voicemail box was full again. Staff #4 (S4) answered LPA’s call at 8:34 a.m. and noted they were opening the garage gate at 8:33 a.m. and were away from the front desk. Interview with a previous administrator at 11:10 a.m. on 02/06/25 revealed that the facility has one phone line which the concierge answers. If the concierge does not answer a call, it also goes to the Wellness office where staff are trained to answer calls and clear the voicemail each day. Residents can call out from any facility phone, but incoming calls must be answered by staff so that residents can receive their calls. If staff do not answer the phone, residents have no way of receiving calls intended for them. Interview with S1 at 11:40 a.m. on 02/06/25 revealed that their concierge shift starts at 9:00 a.m. S1 confirmed that staff in the Wellness office should answer the call when concierge is not present. S1 also stated they clear the voicemail everyday and there may have been technical issues. Interviews with Staff #2 (S2) at 11:50 a.m. on 02/06/25 and Staff #3 (S3) at 11:55 a.m. on 02/06/25 confirmed that concierge should answer calls, and S2 and S3 can answer the call if concierge misses it. S2 and S3 were not aware of any missed calls from the morning. LPA tested the phone system this morning at 9:22 a.m. Staff #4 (S4) answered promptly. Based on observations and interviews, staff ensured the phone was answered. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff are not ensuring the facility is kept clean" it was alleged the floors are dirty and have crumbs on them. Facility tours on 02/06/25, 02/07/25, and today revealed no dirt, stains, or crumbs were observed on facility floors. LPA interviewed nine (09) out of ninety (90) residents, which was 10% of the census. Interviews with six (06) out of nine (09) residents interviewed revealed that they had no issues with the cleanliness of the facility or the floors. Interviews with three (03) out of nine (09) residents interviewed revealed that there are deep stains in the carpets despite facility staff frequently cleaning the carpets. Interview with a previous administrator at 11:10 a.m. on 02/06/25 revealed housekeeping sweeps and vacuums common areas everyday. The Maintenance Director deep cleans the common areas every week. Interviews with maintenance staff, Staff #7 (S7) at 11:30 a.m. on 02/06/25 and Staff #8 (S8) at 12:40 p.m. on 02/06/25 confirmed that the common areas are deep cleaned on a weekly basis. Based on observations and interviews, staff ensure the facility is kept clean. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 31-AS-20250205150035
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: 09/04/2025
NARRATIVE
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Regarding the allegation "Staff did not ensure there is an activities director" it was alleged the facility has no activities director. Interview with a previous administrator revealed Staff #9 (S9) has been the activity director for about one (01) year. Record review of the staff list confirmed S9 has been the activity director. Interview with S9 at 11:05 a.m. on 02/07/25 confirmed they are and have been the activity director. Based on interviews and record review, the facility has an activity director. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff did not ensure resident's shower was not in disrepair" it was alleged the shower handle in the bathroom belonging to Resident #1 (R1) was broken for multiple weeks. Tour of R1’s room at 12:30 p.m. on 02/06/25 revealed their shower handle was functioning properly. Interview with the former administrator revealed they had not received any reports of necessary maintenance in R1’s room. Interview with S8 revealed they first received the maintenance order from caregivers on 02/06/25. S8 showed LPA proof of the work order for R1’s shower handle at 11:09 a.m. on 02/06/25. S8 and S7 fixed the issue by 12:00 p.m. on 02/06/25. LPA attempted to interview R1 at 12:40 p.m. on 02/06/25 but received no relevant information. Interviews with nine (09) out of ninety (90) residents revealed that they had no maintenance issues. Based on observations, interviews, and record review, the facility ensured R1’s shower handle was fixed promptly after receiving the work order. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or 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: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6