198320378-12-11-2025-11-AS-SCIS-DUUUJV-20260608153811

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 12/11/2025
Date Signed: 12/11/2025 04:37:21 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
12/04/2025 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20251204085354

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: 142	DATE:	12/11/2025
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Nathaniel Venzon Administrator		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff is not meeting the needs of resident

INVESTIGATION FINDINGS:

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On 12/11/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to investigate and deliver the 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:

Allegation 1: Staff is not meeting the needs of resident.

On 12/10/2025, LPA conducted interviews with Resident 1-2 (R1-R2). On 12/11/2025 LPA attempted to interview resident 3-5 (R3-R5) who were not available at the time of visit. LPA was able to conduct interviews with Resident 6-12 (R6-R12). Interviews were also conducted with staff members 1-10 (S1-S10). LPA also obtained and reviewed the needs & service plans, physicians report, and Medication Administration Records (MARS) for 12 residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

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-20251204085354

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: 12/11/2025

NARRATIVE

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The investigation consisted of the following:

Licensing Program Analyst (LPA) conducted interviews with twelve residents (R1–R12). 9 out of 9 residents stated that staff members are meeting their daily needs. The remaining three (3) residents were unavailable for interviews at the time of the visit.

LPA reviewed documentation for Residents 1-12 (R1-R12) which included the Needs and Services Plans, Physician’s Reports, and Medication Administration Records (MARs). Based on this review, it appears that facility staff are appropriately meeting the needs of residents in care.

Additionally, LPA interviewed staff members 1-10 (S1–S10) and 10 out of 10 staff members stated that they are capable of meeting the needs of the residents. They also stated that, in the event of staffing concerns, the facility contacts the staffing agency, Clipboard, to ensure adequate coverage.

All ten staff members reported that staffing levels typically include three (3) to six (6) caregivers scheduled for each shift: 6:00 AM – 2:30 PM, 2:30 PM – 10:30 PM, 10:30 PM – 6:30 AM

LPA also obtained and reviewed the shift schedule and it appears that there is sufficient staff at the facility.

Continued.....

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20251204085354

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: 12/11/2025

NARRATIVE

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Additionally, there are two (2) Medication Technicians assigned to each shift.

Based on LPA’s interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

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

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

LIC9099 (FAS) - (06/04)

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