198320378-3-20-2025-11-AS-UCOL-DFFNNM-20250405103654

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 03/20/2025
Date Signed: 03/20/2025 04:48:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/20/2025 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250220150259

FACILITY NAME:	SAVANT OF SANTA MONICA		FACILITY NUMBER:	198320378
ADMINISTRATOR:	NARINE MERTKHANYAN		FACILITY TYPE:	740
ADDRESS:	1447 17TH STREET		TELEPHONE:	(310) 829-5904
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90404
CAPACITY:	174	CENSUS: 92	DATE:	03/20/2025
		UNANNOUNCED	TIME BEGAN:	01:56 PM
MET WITH:	Brooke Lamotte		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff are not keeping the facility free from pests.
Facility staff are not providing clothing to residents.
Facility staff did not safeguard residents' property and valuables.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

The investigation consisted of the following:

On 02/27/2025, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff met with Executive Director Nathaniel Venzon and explained the purpose of the visit. CCLD Staff conducted staff interviews, toured the laundry room area and first floor common areas, and reviewed facility, resident, and staff training records. On 03/20/2025, Licensing Program Analysts Regina Cloyd and Jose Anguiano conducted a subsequent complaint visit. LPAs met with Executive Director and Wellness Director Brooke Lamotte. LPAs conducted resident and staff interviews, reviewed medication, observed residents’ rooms, and toured the facility.

Continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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 4

Control Number 11-AS-20250220150259

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: SAVANT OF SANTA MONICA	FACILITY NUMBER: 198320378
	VISIT DATE: 03/20/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation:

Regarding the allegation "Facility staff are not keeping the facility free from pests,” it is being alleged that Resident #1 and Resident #2 had recurring bed bugs the past year. Record review revealed that pest control services for bed bugs was provided on 10/28/24, 11/14/24, and 02/19/25 for room 86. Six out of eight staff interviews indicated pest control services are called to resolve pest. Interview with the Executive Director and Maintenance Director indicated that the reoccurrence may be caused by R2. R2 to leaves the facility but R1 remains the facility. Eight out of nine resident interviews indicated they have not had an issue with bed bugs.

Regarding the allegation “Facility staff are not keeping the facility free from pests," based on record reviews and interviews the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

Allegation:

Regarding the allegation "Facility staff are not providing clothing to residents,” it is being alleged that the facility has extra clothing in the basement but refuse to retrieve them. Record review of the Admission Agreement does not reveal that the facility will provide clothing to residents. Seven out of nine staff interviews indicated the facility provides donated clothes to residents when needed. Nine out of nine resident interviews indicated they have their own clothing and do not have issues.

Regarding the allegation “Facility staff are not providing clothing to residents," based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

Continue to LIC9099-C.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20250220150259

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: SAVANT OF SANTA MONICA	FACILITY NUMBER: 198320378
	VISIT DATE: 03/20/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation:

Regarding the allegation "Facility staff did not safeguard residents' property and valuables,” it is being alleged that staff took Resident #1 and Resident #2’s clothes to be washed eight months ago and they haven’t received them back yet. Record review of Housekeeping Schedule laundry is done for room R1 and R2 on Saturday. Five out of six staff interviews indicated staff has not taken residents’ clothes for an extend amount of time. Four staff interviews indicated laundry is returned on the same day. Interview with the Executive Director indicated that the clothes for residents with bed bugs will be returned gradually because the facility has to stick with the laundry schedule. Nine out of nine resident interviews indicated they receive their clothes back within two hours.

Regarding the allegation “Facility staff did not safeguard residents' property and valuables," based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

An exit interview was conducted and a copy of this report was left with the Wellness Director Brooke Lamotte

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4