198603137-11-6-2024-31-AS-EMIR-DD5VCX-20250121151953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603137
Report Date: 11/06/2024
Date Signed: 11/06/2024 12:10:24 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/30/2024 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20241030100418

FACILITY NAME:	SAVANT OF BURBANK WEST		FACILITY NUMBER:	198603137
ADMINISTRATOR:	VALDEZ, SILVIA		FACILITY TYPE:	740
ADDRESS:	1911 GRISMER AVE		TELEPHONE:	(818) 295-2727
CITY:	BURBANK	STATE: CA	ZIP CODE:	91504
CAPACITY:	100	CENSUS: 94	DATE:	11/06/2024
		UNANNOUNCED	TIME BEGAN:	11:31 AM
MET WITH:	Emily Caluag		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

1
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9

Staff handle resident in a rough manner
Staff are not addressing the residents dental needs

INVESTIGATION FINDINGS:

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11
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13

Licensing Program Analyst (LPAs) Gary Tan and Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPAs met with the Wellness Coordinator, Emily Caluag, and advised her of the complaint. Today's investigation consisted of interviews, record review, and a physical plant inspection to insure facility compliance.

Interview with the Wellness Coordinator reveal that Resident 1 (R1) does not reside at this facility, but at their other facility, Savant of Burbank East #198603136, which is located across the street (1900 GRISMER AVE). LPAs obtained a copy of the resident roster for this facility, and R1 was not listed. LPAs conducted a record review for Savant of Burbank East, to confirm R1 resided there.

Based on the information gathered, the above allegations are deemed unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. Therefore, the complaint allegation is being dismissed.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

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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