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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603597
Report Date: 02/20/2026
Date Signed: 02/20/2026 03:09:46 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
02/11/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260211155418
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: 141DATE:
02/20/2026
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Madeleine "Maddie" Sievert, Administrator TIME COMPLETED:
03:13 PM
ALLEGATION(S):
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Licensee did not follow proper eviction protocols with resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced initial visit to investigate the above allegation. LPA me with Business Office Manager Rugy Andrade and discussed purpose of the visit. Administrator Madaleine “Maddie” Seivert arrived a short time later and assisted with the visit.

The investigation consisted of LPA interviewing seven (7) staff (S#1 – S#7 and ten (10) residents (R#1-R#10), reviewing and obtaining staff and resident rosters, R1 admission agreement, physicians report, needs and appraisal, and Acknowledgement of discharge form dated 10/24/2025.

The investigation revealed regarding allegation: Licensee did not follow proper eviction protocols with resident in care. It is alleged that resident was evicted without proper notice. LPA interviewed seven (7) staff, and all seven (7) staff denied the allegation. All staff stated the resident self-discharged and signed Acknowledgment of Discharge form showing that on 10/28/2024. LPA interviewed ten (10) residents and Ten (10) ten (10) could not corroborate the allegation. (continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
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-20260211155418
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: 02/20/2026
NARRATIVE
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(continued from 9099)

Resident has resided at Savant of Alhambra since 12/11/2024. On 10/09/2025 resident was allegedly angry and threatening staff. Staff called Los Angeles County psychiatric team and was sent to Los Angeles Downtown Medical Center and placed on 5150 hold. A few days later a staff was sent to skilled nursing facility (SNF) (Green Acres) to reassess resident to admit back to facility and staff determined resident required a higher level of care. On 10/28/2025, staff went to the (SNF) per resident’s request to obtain personal belongings. During the visit, resident signed Acknowledgement of discharge form dated 10/28/2025 that shows resident vacating self from facility while acknowledging receipt of belongings. A staff member stated that the SNF could not accept the belongings of resident and facility took resident’s belongings back to facility and then to storage facility on 01/09/2026, and resident’s relative acknowledged all of resident’s remaining belongings were received and signed a document dated 01/09/2026. Resident has remained at SNF since he was placed on 5150 hold back on 10/09/2025. This is evidence that the resident requires higher level of care. Evidence shows that facility did not evict resident from facility.

Based on interviews with staff and residents records review, the information obtained during the investigation is insufficient to support the allegations. 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 allegations is UNSUBSTANTIATED.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2