197610366-9-4-2025-31-AS-TAGD-DNZUDE-20251203142924

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 09/04/2025
Date Signed: 09/04/2025 12:44:19 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.RO, 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
05/01/2025 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20250501102552

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: 103	DATE:	09/04/2025
		UNANNOUNCED	TIME BEGAN:	12:22 PM
MET WITH:	Narine Mertkhanyan		TIME COMPLETED:	12:23 PM

ALLEGATION(S):

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Staff did not provide resident with copies of documents in a timely manner.
Licensee did not repair resident’s shower in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to investigate the above allegations and met with executive director, Narine Mertkhanyan.

--- Staff did not provide resident with copies of documents in a timely manner.

It was alleged that in April 2025 (exact date not recalled), Resident #1 (R1) was given some paperwork to sign by staff about R1’s behavior and being a danger to others, but R1 did not read the papers before signing them. R1 asked the administrator for copies of the papers signed but was never provided with them. To investigate the allegation, LPA Nicholas Reed interviewed residents and staff between 9:35 a.m. and 12:10 p.m. and toured the facility inside and out at 9:50 a.m. LPA toured the facility inside and out at 3:45 p.m., interviewed staff between 4:05 p.m. and 4:30 p.m., and conducted a record review at 4:30 p.m.

(CONT. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
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)

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Control Number 31-AS-20250501102552

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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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On 09/04/2025, LPA Duguma interviewed additional staff from 11:00a.m. – 12:00p.m. During interviews with staff, Staff #1 (S1) stated resident was not given documents to sign regarding their behavior during the period in question, rather R1 was given Assisted Living Waiver documents to sign. Copies were proved to R1 within 48 hours. During interviews with R1, R1 confirmed S1’s statement.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

--- Licensee did not repair resident’s shower in a timely manner.

It was alleged that a caregiver took a trash can into the bathroom and somehow broke the shower, causing it to flood. To investigate the allegation, LPA Nicholas Reed interviewed residents and staff between 9:35 a.m. and 12:10 p.m. and toured the facility inside and out at 9:50 a.m. LPA toured the facility inside and out at 3:45 p.m., interviewed staff between 4:05 p.m. and 4:30 p.m., and conducted a record review at 4:30 p.m. On 09/04/2025, LPA Duguma interviewed additional staff from 11:00a.m. – 12:00p.m and conducted a physical plant tour. During interviews with staff, all staff stated while a housekeeper was cleaning, they inadvertently broke a shower cartridge but that it was addressed and replaced the same day. During interviews with R1, R1 confirmed staffs’ statements. Although the shower was temporarily in disrepair, facility took immediate action to resolve the issue. During the facility plant tour, LPA did not observe shower in disrepair.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report was issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
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)

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