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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603597
Report Date: 04/10/2025
Date Signed: 04/10/2025 02:46:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
04/02/2025 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250402110122
FACILITY NAME:SAVANT OF ALHAMBRAFACILITY NUMBER:
198603597
ADMINISTRATOR:MADELEINE SIEVERTFACILITY TYPE:
740
ADDRESS:1 E COMMONWEALTH AVETELEPHONE:
(626) 289-3871
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:176CENSUS: 145DATE:
04/10/2025
UNANNOUNCEDTIME BEGAN:
12:32 PM
MET WITH:Administrator Madeleine SievertTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility Elevators in disrepair causing delays in emergency medical response to residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced complaint investigation regarding the above allegations. LPA was met by Administrator Madeleine Sievert and explained the purpose of the visit.

The investigation consisted of the following: LPA Gutierrez did an inspection of facility elevators located in the front lobby and in garage, requested and obtained copies of staff roster, resident roster, elevator repair receipts, firefighters service operation log, and hydraulic maintenance tasks. LPA conducted interviews with Administrator, staff 1- staff 6 (S1-S6), and residents 1 – 6 (R1-R6).

SEE 9099C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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 2
Control Number 28-AS-20250402110122
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SAVANT OF ALHAMBRA
FACILITY NUMBER: 198603597
VISIT DATE: 04/10/2025
NARRATIVE
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In regard to the allegation” Facility Elevators in disrepair causing delays in emergency medical response to residents”, it is alleged that facility is not in compliance with regards to their passenger elevator. During interviews with staff six (6) out of six (6) stated that although elevator was not working, they called for service on the same day and were waiting for parts. Administrator stated they have two elevators and if they both stop working, they have an emergency plan that consist of evacuation chairs at every stairwell on second floor. During interviews with residents six (6) out of the six (6) stated that they have all witnessed elevators out of service, but staff fixes them in a timely manner. All six (6) residents stated they never had an issue with coming downstairs. LPA checked both elevators at time of visit and observed both of them in working condition. On April 7th,2025, LPA Wesley was conducting a visit and observed both elevators not working deficiency was cited and a $500 immediate civil penalty was assessed.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. 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, and a copy of this report was given to Administrator Madeleine Sievert.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2