198320378-8-14-2025-11-AS-SCIS-DM4UMY-20251003154302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 08/14/2025
Date Signed: 08/14/2025 02:27:32 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
08/08/2025 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20250808092032

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: 117	DATE:	08/14/2025
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Nathaniel Venzon-Administrator		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff did not assist resident with obtaining medical care services.

INVESTIGATION FINDINGS:

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On 8/14/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver findings for the alleged allegation. LPA identified herself and met Dalyn Barrett- Activity Director who was informed of the purpose of the visit. Nathaniel Venzon arrived at approximately 10:00 AM he was also informed of the purpose of the visit

The investigation consisted of the following:
At 9:06 AM, LPA Allen requested the following documents: staff and client roster dated 8/14/2025, Resident 1 (R1) file which included the face sheet dated 8/14/2025, preplacement appraisal, physicians report dated 7/25/2025, admission agreement date 7/29/2025. University Park Healthcare Center Order Summary Report and face sheet July 25,2025. Skilled Home Healthcare Agency reports dated 8/4/2025. Correspondance between R1's Physician and Brooke Lamotte-Wellness Director from 7/31/2025 through 8/7/2025, and weight charts dated for 8/5,8/6 8/7/2025, and interviews with Staff members 1-8 (S1-S8) and Residents 1-9 (R1-R9).
Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

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-20250808092032

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: 08/14/2025

NARRATIVE

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The investigation revealed the following:

Staff did not assist resident with obtaining medical care services.

At 9:30 AM, LPA Allen conducted interviews with Residents 1 through 9 (R1–R9). Of those interviewed, 1 out of 9 residents stated they are not receiving assistance with obtaining medical care services.

Residents R2, R3, and R4 stated they have not needed staff assistance for scheduling doctor’s appointments or running errands. However, they expressed confidence that if such assistance were needed, staff would ensure the necessary services were provided.

Residents R5, R6, R7, R8, and R9 confirmed that staff have assisted them with medical appointments and care services, including transportation to and from appointments and errands.

Additionally, Residents R2 through R9 stated that when the facility’s transportation van is unavailable, alternative transportation arrangements are made to ensure residents can be picked up and dropped off as needed. These arrangements include the use of services such as Lyft, Uber, and Access.

LPA Allen also conducted interviews with Staff Members 1-8 (S1–S8). 8 out of 8 staff members interviewed stated residents are assisted with obtaining medical care services. Staff stated residents, MedTechs, Brooke Lamotte- Wellness director and residents coordinates together to assist with scheduling appointments for medical care services as well as personal errands.

Additionally, staff stated that when the facility’s transportation van is unavailable, alternative transportation arrangements are made to ensure residents can be picked up and dropped off as needed. These arrangements include the use of services such as Lyft, Uber, and Access.

At 12:45 PM, LPA Allen also reviewed Resident 1’s (R1) file and observed that the facility staff has been providing medical care services since R1’s admission. Services have been in place and utilized from July 29, 2025, through August 14, 2025.

Continued..

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250808092032

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: 08/14/2025

NARRATIVE

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A referral to R1’s primary care physician has been initiated and is currently pending. Additionally, R1 has received physical therapy services from Skilled Home Health, Inc., an outside agency twice a week, from August 3, 2025, through August 9, 2025, and the review of documentation does not reflect any evidence of excessive weight loss.

Based on interviews, documents reviewed and observation during the investigation, the above allegation is found to be Unsubstantiated; meaning that 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.

An exit interview was conducted where this report was discussed and provided to Nathaniel Venzon- Administrator at conclusion of the visit with appeal rights.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

LIC9099 (FAS) - (06/04)

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