198603136-1-13-2026-31-AS-TAGD-DQPUKQ-20260126143931

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603136
Report Date: 01/13/2026
Date Signed: 01/13/2026 04:15:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/11/2026 and conducted by Evaluator Nadia Shahbazian

COMPLAINT CONTROL NUMBER: 31-AS-20260111201238

FACILITY NAME:	SAVANT OF BURBANK EAST		FACILITY NUMBER:	198603136
ADMINISTRATOR:	ACHARYA, NIRJARA		FACILITY TYPE:	740
ADDRESS:	1900 GRISMER AVE		TELEPHONE:	(818) 843-3141
CITY:	BURBANK	STATE: CA	ZIP CODE:	91504
CAPACITY:	100	CENSUS: 93	DATE:	01/13/2026
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Imelda Villanueva-Executive Director		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not prevent inappropriate interaction between residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced initial 10 day complaint visit at this facility to investigate the above allegation(s). LPA met with Imelda Villanueva-Executive Director and explained the reason for the visit.

At 12:15pm, LPA requested resident and staff roster and documents pertaining to the investigation: Resident 1 (R1)'s Admission Record, Physician Report, resident appraisal, and incident reports. At approximately 12:55pm, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected; no immediate health or safety risks were observed during today's visit.

Between 12:15pm - 02:50pm, LPA conducted interviews with the Administrator, staff members and residents.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

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 31-AS-20260111201238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAVANT OF BURBANK EAST	FACILITY NUMBER: 198603136
	VISIT DATE: 01/13/2026

NARRATIVE

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Regarding allegation: Staff did not prevent inappropriate interaction between residents
It is alleged that R1's roommate has been mentally and verbally abusing R1. During interviews with staff, all staff stated that R1 has been intimidating their previous roommate (R2), several residents and also the current roommate (R3). R1 has been preventing staff to enter their room, in order to provide assistance to the previous roommate. All staff mentioned that they felt uneasy to enter R1's room to clean or to attend to R1 or to the roommate. Administrator transferred R2 to a room across R1's room and assigned a new roommate (R3) to R1. Based on interview with staff and R3, it was revealed that R1 is intimidating R3 as well. Staff have asked R1 to speak to Administrator directly and express any concerns they have with the past or current roommate but R1 refuses to speak with the Administrator. R3 informed LPA that initially R1 was nice but currently R1 has been giving R3 difficulty at nights and whenever R1 comes to the room. R3 is trying to stay out of the room, as much as possible, to avoid confrontation. In addition, all staff mentioned to LPA that R1 is rude and verbally abusive to staff and several other residents.

Based on interview with the Administrator, staff and residents, this allegation is deemed Unsubstantiated at this time.

An exit interview was conducted, and a copy of the report was issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

LIC9099 (FAS) - (06/04)

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