198603597-3-18-2025-28-AS-LHIS-DFBPCJ-20250401111200

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603597
Report Date: 03/18/2025
Date Signed: 03/18/2025 01:56:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/21/2025 and conducted by Evaluator Alberto Lopez

COMPLAINT CONTROL NUMBER: 28-AS-20250221164219

FACILITY NAME:	SAVANT OF ALHAMBRA		FACILITY NUMBER:	198603597
ADMINISTRATOR:	MADELEINE SIEVERT		FACILITY TYPE:	740
ADDRESS:	1 E COMMONWEALTH AVE		TELEPHONE:	(626) 289-3871
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	176	CENSUS: 140	DATE:	03/18/2025
		UNANNOUNCED	TIME BEGAN:	09:51 AM
MET WITH:	Madeleine Sievert, Administrator		TIME COMPLETED:	02:02 PM

ALLEGATION(S):

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Facility staff does not provide adequate food service to resident in care.
Facility does not provide adequate toileting supplies.
Facility staff does not provide adequate housekeeping services.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez made subsequent visit to the facility for the purpose of continuing investigation and delivering findings for above-mentioned allegations. LPA Lopez met with Maddie Sievert, Administrator and explained the purpose for the visit.

02/28/2025 During the visit, LPA interviewed two residents (2) and one (1) staff and reviewed and obtained copies of staff and resident rosters.

The investigation consisted of: LPA taking tour of facility including dining area, random rooms and common areas. LPA reviewed and obtained staff and resident rosters. Copy of food menu, interviews with six (6) staff (S#1-S#6) and twelve (12) residents (R#1-R#12)
The investigation revealed, Allegation: Facility staff does not provide adequate food service to resident in care. It is alleged that facility does not provide seconds of food servings to residents or seconds of dessert when residents ask. (continue on 9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

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 28-AS-20250221164219

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SAVANT OF ALHAMBRA	FACILITY NUMBER: 198603597
	VISIT DATE: 03/18/2025

NARRATIVE

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(continued from 9099)

LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegation. One staff stated one resident mentioned that portions are small but also stated that staff has seen food in the trash. LPA interviewed twelve (12) residents and eleven (11) of twelve (12) residents were not able to corroborate the allegations. LPA observed residents getting seconds of food and dessert during the visit. There is insufficient evidence to support this allegation.

Allegation: Facility does not provide adequate toileting supplies. It is alleged that facility is only providing one roll of toilet paper per person per week and can take hours or days to get more. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegation. LPA interviewed twelve (12) residents and eleven (11) of (12) residents were not able to corroborate the allegation. Several staff stated that they provide each resident with 2 rolls of toilet paper per week and if they require more, they just need to ask and more will be provided. Several residents stated that the facility has increased the initial amount of toilet paper provided and that is enough and if not they will get more if they ask. LPA checked random rooms during the visit and all the rooms had toilet paper in the restrooms. Including common restrooms. There is insufficient evidence to support this allegation.

Allegation: Facility staff does not provide adequate housekeeping services. It is alleged that facility is not taking out the trash from resident’s room. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegation. LPA interviewed twelve residents and twelve (12) of twelve (12) residents could not corroborated the allegation. Some residents stated that if their trash bin gets full, they just take it out and place it in the hallway. Residents stated they have extra bags and can replace the bag themselves if they must. LPA inspected random rooms, and all the rooms inspected had the trash removed from the rooms. LPA toured the facility and observed housekeepers cleaning, taking out the trash, and re-stocking toilet paper in the rooms. There is insufficient evidence to support this allegation.

Other allegations regarding the mismanagement of medications and response time to call light or request for help were addressed in previous complaint recently. Also allegation that facility is not providing medical records was addressed by LPA previously as well.

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

An exit interview was conducted with Madeleine Sievert Administrator. A copy of this report along with the appeal rights was provided.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

LIC9099 (FAS) - (06/04)

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