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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 10/18/2024
Date Signed: 10/18/2024 01:51:59 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
10/08/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20241008090434
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: 79DATE:
10/18/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marilou MendozaTIME COMPLETED:
01:55 PM
ALLEGATION(S):
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Staff do not prevent residents from smoking in prohibited areas
INVESTIGATION FINDINGS:
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At 8:30 a.m. on 10/18/24 Licensing Program Analyst (LPA) Nicholas Reed and Licensing Program Manager (LPM) Naira Margaryan conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit.

To investigate the allegation above, LPA conducted an initial visit on 10/16/24 and interviewed three (03) residents and two (02) staff between 9:00 a.m. and 4:00 p.m. and toured the facility at 9:30 a.m. Today, LPA and LPM toured the facility at 8:30 a.m. and 11:00 a.m., interviewed residents and staff between 8:45 a.m. and 11:30 a.m., and conducted a record review of pertinent records, including but not limited to staff and resident rosters at 9:30 a.m.

Regarding the allegation "Staff do not prevent residents from smoking in prohibited areas" it was alleged residents were smoking in non-designated areas which affected the health and safety of other residents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
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 3
Control Number 31-AS-20241008090434
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: 10/18/2024
NARRATIVE
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A similar allegation was previously investigated in May 2024 as part of complaint # 31-AS-20240528173514. During that investigation, the previous administrator noted signs were posted around the central courtyard prohibiting residents from smoking there. Also, the issue was addressed during the May 2024 resident’s council meeting, and a formal warning letter was drafted for residents who continued to disobey staff instruction to smoke only in the designated area. Interview with the current administrator at 4:00 p.m. on 10/16/24 revealed the only designated smoking area was in front of the facility. The front doors are locked at night. Interview with Resident #1 (R1) at 9:10 a.m. on 10/16/24 revealed they have been instructed by staff not to smoke in the courtyard, but they continue smoke in the courtyard despite verbal warnings. Interview with Resident #2 (R2) at 9:15 a.m. on 10/16/24 revealed they were instructed by staff not to smoke in the courtyard but to instead smoke in the garage. Interview with Resident #3 (R3) at 9:00 a.m. today revealed they were instructed by staff to not smoke in the courtyard or the garage. R3 further stated that they have nowhere to smoke at night since the designated area is unattended, unsafe, and residents have had to wait long periods of time to be let back in. Interview with the administrator at 9:45 a.m. today revealed the facility is working to hire an additional staff to supervise residents in the designated smoking area at night. Additionally, the facility is working on renovations to make the designated smoking area safer. The administrator has issued written warnings to multiple residents due to their continued noncompliance with house rules. LPA and LPM toured the facility and observed approximately three (03) cigarette butts on the east side of the courtyard and three (03) cigarette butts on the west side of the courtyard. When LPA toured the courtyard again at 11:00 a.m., a resident was observed smoking. Other residents nearby were disturbed by the smoke. Based on interviews and observations, staff have not prevented residents from smoking in prohibited areas. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is cited on the corresponding LIC 9099-D page.

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

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20241008090434
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: 10/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
10/28/2024
Section Cited
CCR
87468.1(a)(2)
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87468.1 Personal Rights of Residents in All Facilities (a) Residents... shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by:
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After discussion with LPA and LPM, the licensee has already taken reasonable steps to protect residents' health by prohibiting smoking in non-designated areas. The licensee will submit a written plan to address any future issues by the POC due date. The deficiency is cleared a this time.
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Based on interviews and observations, the licensee did not comply with the section cited above in at least two (02) residents affected by others smoking in non-designated areas which poses a potential Health, Safety, or Personal Rights risk to residents 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: 10/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
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