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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 12/09/2025
Date Signed: 12/10/2025 02:50:33 PM

Substantiated


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
09/05/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20250905102718
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: 147DATE:
12/09/2025
UNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH:Nathaniel Vezon Administrator TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Allegation 2: Staff inappropriately spoke to resident
INVESTIGATION FINDINGS:
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On 12/10/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver findings for the alleged allegation. LPA identified herself and met with Administrator Nathaniel Venzon who was informed of the purpose of the visit.

The investigation consisted of the following:

On 9/9/2025, At 11:30 AM, LPA Allen requested the following documents: staff and resident roster dated 9/9/2025, LPA conducted interviews with Resident 1-11 (R1-R11) and Staff members 1-6 (S1-S6). LPA also requested that Brooke Lamotte-wellness director provided Resident 1 (R1) file which should consist of admissions agreement 5/8/2025, pre-placement, face-sheet, emergency information, physicians report & needs and service plan dated 5/8/2025 by email on 9/10/2025. At 2:30PM LPA conducted a tour of the facility which consisted of the dining and kitchen area and nine (9) residents’ bedrooms 56,65,57,59,55,18,20, 25, and 16.
Continued....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
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 3
Control Number 11-AS-20250905102718
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: 12/09/2025
NARRATIVE
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The investigation revealed the following:

Allegation 2: Staff inappropriately spoke to resident

On September 9, 2025, Licensing Program Analyst (LPA) conducted interviews with Residents 1- 11 (R1–R11). Resident 1 (R1) reported being physically abused by Staff 1 (S1). Resident 2 (R2) stated that they observed S1 handling R1 roughly while providing care and making inappropriate comments that were unrelated to caregiving. Residents 3-11 (R3–R11) reported that they had not experienced being spoken to inappropriately by any staff members.

LPA attempted to interview Staff 1 (S1), but S1 was unavailable during the investigation. Staff 2 and Staff 3 (S2–S3) confirmed they were aware of the allegations of inappropriate communication and stated that an internal investigation had been initiated. S2 and S3 stated S1 admitted to speaking to the resident inappropriately while providing care. Records reviewed revealed that S1’s last day of work was September 1, 2025, and that S1 was officially disassociated from the facility on September 9, 2025. Staff members S4, S5, and S6 stated that they did not personally witness or hear S1 speaking inappropriately to R1, but they were aware of the incident through other sources. LPA also reviewed the facility’s personnel records for S1, which revealed that S1 failed to complete the introductory period and violated company policy.

Based on information gathered, the department did find sufficient evidence to support allegation that the staff inappropriately spoke to resident.

Based on interviews conducted and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A citation is being cited on the attached LIC 9099D.

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

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250905102718
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
12/10/2025
Section Cited
CCR
87468.1(a)(3)
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87468.1 Personal Rights of Residents in All Facilities
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions.....
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The POC was cleared during the visit on 9/9/2025.
LPA was provided documents that shows S1 last day of work as 9/9/2025 which was signed by S1.
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This requirement was not met as evidenced by: which poses a potential health, safety or personal rights risk to persons in care. The interviews conducted and the review of S1 file reviewed revealed that they were terminated because of admitting to speaking inappropriatley to R1 which resulted in s1 failing to completed introductory period
and violation of company policy.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3