197610366-10-8-2025-31-AS-NMAN-DPLVJS-20251222152912

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 10/08/2025
Date Signed: 10/08/2025 05:07:48 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
10/07/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20251007124001

FACILITY NAME:	SAVANT OF TARZANA		FACILITY NUMBER:	197610366
ADMINISTRATOR:	NARINE MERTKHANYAN		FACILITY TYPE:	740
ADDRESS:	5711 RESEDA BLVD		TELEPHONE:	(818) 996-2022
CITY:	TARZANA	STATE: CA	ZIP CODE:	91356
CAPACITY:	176	CENSUS: 109	DATE:	10/08/2025
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Narine Mertkhanyan		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee is not preventing resident from being bitten by bugs while in care
Licensee is not ensuring that staff take out the trash

INVESTIGATION FINDINGS:

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At approximately 10:15 a.m. on 10/08/25 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 allegations above, LPA interviewed staff and at least 10% of residents [eleven (11) out of one-hundred nine (109)] between 10:15 a.m. and 12:30 p.m. today, toured the facility inside and out at 11:00 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and client roster at 12:00 p.m.

Regarding the allegation "Licensee is not ensuring that staff take out the trash" it was alleged the trash in the room of Resident #1 (R1) was not taken out. Review of R1’s care plan revealed the facility was to assist R1 daily trash pick-up. Interview with the administrator at approximately 10:50 a.m. today revealed housekeepers and caregivers remove resident trash at least once per day.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

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-20251007124001

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: 10/08/2025

NARRATIVE

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LPA inspected R1’s room today at approximately 11:05 a.m. R1’s room was tidy with no trash in the trash bin. Interviews with eleven (11) out of eleven (11) residents revealed staff take out their trash every day. No residents had issues with housekeeping or trash disposal. Interview with Staff #1 (S1) at 11:20 a.m. today revealed they take out trash from resident rooms twice per day; once at the beginning of their shift, and once at the end of their shift. Interview with Staff #2 (S2) at 11:40 a.m. today confirmed that housekeepers and caregivers take out resident trash at least once per shift. LPA also observed staff disposing of common area trash bins and resident room trash bins at approximately 11:45 a.m. and 12:00 p.m. today. Based on interviews and observations, the licensee has ensured that staff take out trash. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Licensee is not preventing resident from being bitten by bugs while in care" it was alleged that R1 was being bitten by bugs due to staff not taking out their trash. Interviews with ten (10) out of eleven (11) residents revealed they had no issues with bug bites. Interview with Resident #2 (R2) at 12:10 p.m. today revealed they get bitten by bugs while outside in the smoking area but never inside the facility. Interviews with the administrator and staff revealed they have not heard of any residents with bug bites except for R1. The administrator noted that staff deep-cleaned R’1s room upon hearing of the issue. Review of R1’s care plan and medical assessment revealed no special care needs pertaining to bug bites or other related factors for which the facility was responsible. Based on observations, interviews, and record review, there is insufficient evidence to verify the allegation. 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: 10/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

LIC9099 (FAS) - (06/04)

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