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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 11/10/2025
Date Signed: 11/10/2025 11:56:14 AM

Unfounded


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
11/05/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20251105154028
FACILITY NAME:SAVANT OF SANTA MONICAFACILITY NUMBER:
198320378
ADMINISTRATOR:NATHANIEL VENZONFACILITY TYPE:
740
ADDRESS:1447 17TH STREETTELEPHONE:
(310) 829-5904
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:174CENSUS: 133DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Shiree McCutchen -Business Office ManagerTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Staff did not prevent a resident from causing harm to another resident
INVESTIGATION FINDINGS:
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On 11/10/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct and deliver the findings for the above elledged allegation. LPA was met with Business Office Manager, Shiree McCutchen and Wellness Director, Brooke LaMotte and they both were explained the purpose of the visit.

The investigation consisted of the following:

On 11/10/2025, LPA obtained and reviewed copies of the following records: Staff and Resident Roster dated 11/10/2025, a copy of LIC624 dated 10/5/2025, SOC341 dated 10/6/2025 and LIC624 dated 10/14/2025.LPA also conducted an interview with Witness 1(W1), Staff Member (S1) and attempted to interview Resident 1(R1).

Continued....
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
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 2
Control Number 11-AS-20251105154028
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: 11/10/2025
NARRATIVE
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The investigation revealed the following:

Allegation Staff did not prevent a resident from causing harm to another resident

LPA reviewed the following documents: a copy of LIC624 dated 10/5/2025, SOC341 dated 10/6/2025, and LIC624 dated 10/14/2025.

The LIC624 dated 10/14/2025 did not indicate that there was a incident which occurred involving one resident causing harm to another resident in the facility.

An interview with S1 confirmed that staff did not fail to prevent harm between residents, as no such incident took place. S1 clarified that R1 was placed on a 5150 hold on 10/14/2025 due to aggressive behavior directed toward a staff member, not another resident.

LPA attempted to interview R1 however they were not at the facility and could not be contacted.

An interview with W1 also confirmed that the allegation was fabricated and not true.

Based on interviews and record review the evidence gathered during the investigation revealed, the above allegation is found to be Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted and discussed with Brooke LaMotte Wellness Director, and a copy of the report was provided at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2