198603136-6-12-2026-31-AS-PMAA-DVBKZM-20260623082058

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603136
Report Date: 06/12/2026
Date Signed: 06/12/2026 03:32:15 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
05/13/2026 and conducted by Evaluator Nadia Shahbazian

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260513154913

FACILITY NAME:	SAVANT OF BURBANK EAST		FACILITY NUMBER:	198603136
ADMINISTRATOR:	VILLANUEVA,IMELDA		FACILITY TYPE:	740
ADDRESS:	1900 GRISMER AVE		TELEPHONE:	(818) 843-3141
CITY:	BURBANK	STATE: CA	ZIP CODE:	91504
CAPACITY:	100	CENSUS: 93	DATE:	06/12/2026
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Imelda Villanueva-Executive Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are not meeting resident's needs.
Facility staff did not provide nutritious meals to resident in care resulting in weight loss.
Facility staff enrolled resident in hospice without responsible party's notification.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced subsequent 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 is to close out the investigation and render findings.

Initial investigation was conducted by LPA Shahbazian on 05/21/26. LPA had previously requested documents pertaining to the investigation and had interviewied residents and staff.

In regards to allegation, Staff are not meeting resident's needs. It is alleged that: Resident #1 (R1) is bedridden and on hospice and staff does not regularly check on the resident. LPA interviewed the Administrator who stated resident is considered non-ambulatory but not bedridden. R1 receives assistance with activities of daily living (ADL)s including incontinence care, grooming, cleaning the room and laundry but showers are provided twice weekly by the hospice nurse. LPA interviewed five (5) care

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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-20260513154913

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: 06/12/2026

NARRATIVE

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staff who indicated they check on R1 on regular basis to assist with incontinence, grooming and other needs. Interview with witness revealed they had visited R1, possibly a year ago and but noticed resident’s hair matted and nails to be long. Witness stated they are aware that R1 has been on hospice for a while and R1 is receiving ADLs. Witness also stated that they communicate with R1, who informed them that staff are providing care and R1 has no concerns. LPA conducted interviews with nine (9) residents. Four (4) stated they take their own showers and use the restroom on their own but there is always staff to assist. Five (5) residents stated that staff check on them every hour or two hours to assist with any needs such as toileting and that they are showered two times a week. All nine (9) stated the trash is picked up, rooms and bedding are clean daily, with weekly room deep cleaning and laundry service. LPA interviewed R1 who stated ‘nurse’ comes two times a week and provides bed showers but staff assist them with daily grooming of hair, changing of clothing, incontinence care. Resident stated staff encourage them to walk, use wheelchair and to get out of bed but R1 chooses to stay in bed. R1 also stated the staff always check on R1 and “it seems staff are always here”. LPA reviewed R1’s physician record, where R1 is listed as non-ambulatory and not bedridden. Review of records indicate facility and hospice staff are providing necessary care services.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to allegation, Facility staff did not provide nutritious meals to resident in care resulting in weight loss. LPA interviewed the Administrator and kitchen staff who stated R1 prefers to stay in their room and does not participate in activities or come to the dining room. Kitchen staff verified that R1 is on diabetic, no salt and soft mechanical diet and chooses not to eat pork. LPA was provided copy of daily and special menus and kitchen staff stated menus are posted throughout the facility and residents order their daily meals but meals can be prepared upon special request. Five (5) staff interviewed stated even though R1 stays in the room but they inform R1 of the daily menu and special menu and ask R1 their preference for each meal. LPA interviewed nine (9) residents and all of them stated they are happy with the meals/snacks/fruits and food is nutritious but if they don’t like the meals, kitchen staff will prepare a special meal for them. LPA visited R1 and observed a caregiver with R1 who was encouraging R1 to finish the lunch. LPA interviewed R1 who stated generally R1 likes the food but sometimes prefers to eat the dessert, such as ice cream, but staff are watching the plates and encourage to finish the plate. R1 stated they choose to stay in the room and every day staff inform them of the menu and ask their preference of each meal. LPA observed reviewed the physician record from 03/06/25 and compared to face sheet dated 02/10/26, which revealed R1's weight was reduced from 160 pounds to 137.2 pounds. LPA observed R1’s plate to include fish, potato, juice and ice

Continued on 9099-C

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260513154913

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: 06/12/2026

NARRATIVE

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cream. LPA also reviewed the regular and special meal menu and verified that there are always multiple selections for each meal, including juices and vegetables.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to allegation, Facility staff enrolled resident in hospice without responsible party's notification. Upon interview with Administrator, if was revealed that resident was refusing showers, ADLs or care and physician had contacted a hospice agency to provide care. Administrator stated R1 is self-responsive and had signed the admission records and hospice contract themselves. R1’s family was notified by telephone call, after R1 was accepted to hospice care. During the visit on 06/12/26, Administrator stated that as of 05/29/26, R1’s family requested hospice care to be stopped and facility will be responsible for providing care now. LPA interviewed R1 who stated they were aware that a ‘nurse’ would be providing care and they signed the hospice contract but R1 did not recall the exact admission date when hospice care started. LPA reviewed the admission and hospice admission record and observed that R1 had sign both documents themselves.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted; all above allegations were UNSUBSTANTIATED. A copy of the report was provided to the administrator.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

LIC9099 (FAS) - (06/04)

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