198320378-10-10-2025-11-AS-SCIS-DNDW3J-20251113155602

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 10/10/2025
Date Signed: 10/10/2025 04:56:48 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
10/07/2025 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20251007152227

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: 129	DATE:	10/10/2025
		UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Nathaniel Venzon-Administrator		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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The facility failed to ensure designated substitute coverage

INVESTIGATION FINDINGS:

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On 10/10/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to investigate and deliver the findings for the alleged allegation. LPA met with Administrator Nathaniel Venzon and he explained the purpose of the visit.

The investigation consisted of the following:

At 10:10 AM, LPA Allen requested the following documents: staff roster dated 10/10/2025, resident roster, a list of residents who tested positive for Covid Resident 1-5 (R1-R5), In-service training for infection control dated 2/13/2025 and 9/20/2025. Cleaning and disinfection log dated from 9/15/2025- 9/29/2025, Relias trainings for infection control and acute care transfer log dated from 6/15/2025 through 9/29/2025.

LPA also conducted interviews with staff members 1-8 (S1-S8), resident 1-9 (R1-R9).
continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

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 11-AS-20251007152227

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: 10/10/2025

NARRATIVE

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The investigation revealed the following:

Allegation #1: The facility failed to ensure designated substitute coverage.

It was reported that the facility failed to ensure that a designated substitute was at the facility for coverage during the absence of the Administrator Nathaniel Venzon.

LPA conducted interviews with staff member 1-8 (S1-S8) and of those interviewed 8 out of 8 stated that there is always coverage in the absence of the administrator Nathaniel Venzon.

The interviews with S1 stated they have their Administrators License on file which LPA observed during the visit and S2 and S3 confirmed that S1 has their Administrators certificate.

LPA also conducted interviews with residents 1-9 (R1-R9) and of those interviewed 9 out of 9 residents stated there is always someone there to cover when the administrator Nathaniel Venzon is not at the facility.

On 10/10/25, LPA reviewed the infection control plan and staff were found to be following protocols.

During the tour of this facility, LPA did not observe any PPE stations being used due to there not being any current covid cases.

Based on the evidence gathered,observations, and interviews conducted 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 violations did or did not occur.

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

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

LIC9099 (FAS) - (06/04)

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