198320378-5-21-2025-11-AS-SCIS-DLUPS9-20250925113356

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 05/21/2025
Date Signed: 05/21/2025 03:24:16 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
04/29/2025 and conducted by Evaluator Felisa Shirley

COMPLAINT CONTROL NUMBER: 11-AS-20250429151406

FACILITY NAME:	SAVANT OF SANTA MONICA		FACILITY NUMBER:	198320378
ADMINISTRATOR:	NATHANIEL VENZON		FACILITY TYPE:	740
ADDRESS:	1447 17TH STREET		TELEPHONE:	(310) 829-5904
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90404
CAPACITY:	174	CENSUS: 100	DATE:	05/21/2025
		UNANNOUNCED	TIME BEGAN:	11:03 AM
MET WITH:	Brooke LaMotte, Wellness Director		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff neglect is resulting in residents suffering from multiple falls.
Facility staff not seeking medical assistance for residents in a timely manner.

INVESTIGATION FINDINGS:

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

On 5/21/25 at 11:00 am, Licensing Program Analyst (LPA) Felisa Shirley, conducted an unannounced subsequent complaint visit to the address listed above. LPA Shirley arrived and spoke to the Wellness Director, Brooke LaMotte and the purpose of the visit was discussed. LPA was granted access to the facility.

The investigation consisted of the following:

On 5/08/25, LPA Shirley spoke to facility Executive Director, Nathaniel Venzon and the Wellness Director, Brooke LaMotte and reviewed facility records. LPA requested copies of staff and resident rosters, copies of all special incident reports January 2025 through April 2025. LPA reviewed copies of residents Physicians Reports, and Service Plans. LPA also interviewed staff 1 thru staff 9(S1 thru S9) and residents 1 thru resident 10(R-1 thru R-10).

Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

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 3

Control Number 11-AS-20250429151406

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: 05/21/2025

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

The investigation revealed the following:

Allegation: Facility staff neglect is resulting in residents suffering from multiple falls

On 5/21/25, LPA Shirley reviewed special incident reports from January 2025 to April 2025. During review of the incident reports LPA Shirley observed 8 incident reports that were resident falls. File review revealed that one resident, R5, is considered a fall risk. R5 fell on 2/1/25 and 4/30/25. LPA observed that there was an assessment completed on 3/30/25, and interview with the Wellness Director stating that there was a care plan in place.

LPA Shirley interviewed staff-1 thru staff-9 (S-1 thru S-9). LPA asked, does staff neglect result in residents suffering from multiple falls. Of those interviewed, 9 out of 9 staff answered no. LPA interviewed Resident-1 thru Resident-10 (R-1 thru R-10). LPA asked, does staff neglect result in residents suffering from multiple falls. Of those interviewed, 5 out of 10 answered yes, and 5 answered no.

Allegation: Facility staff not seeking medical assistance for residents in a timely manner

On 5/21/25, LPA Shirley reviewed special incident reports from January 2025 to April 2025. During review of the incident reports LPA Shirley observed that residents were assisted timely by staff members upon request by residents, per incident occurrences or by observation. LPA Shirley reviewed the Acute Care Transfer log received on 5/8/25 and 5/21/25 regarding staff assisting residents by transferring the residents from this facility and the reasons for the transfers.

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250429151406

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: 05/21/2025

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

LPA Shirley interviewed staff-1 thru staff-9 (S-1 thru S-9). LPA asked, does staff seek medical assistance for residents in a timely manner. Of those interviewed, 9 out of 9 staff answered yes. LPA interviewed Resident-1 thru Resident-10 (R-1 thru R-10). LPA asked, does staff provide medical assistance for you in a timely manner. Of those interviewed, 5 out of 10 answered yes, and 5 answered no.

Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Regarding the allegations, the Department found no evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, as a result, the allegations are Unsubstantiated.

No deficiencies were cited for these allegations.

An exit interview was conducted and a copy of this report was provided to the Wellness Director Brooke LaMotte.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3