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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603597
Report Date: 01/17/2026
Date Signed: 01/17/2026 11:18:47 AM

Substantiated


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
01/05/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260105100911
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: 147DATE:
01/17/2026
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Blanca Soliz, Resident Services SupervisorTIME COMPLETED:
11:24 AM
ALLEGATION(S):
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Staff did not ensure that the facility was kept free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez conducted a subsequent unannounced visit to deliver findings for the above-mentioned allegations. LPA met with Blanca Soliz, Resident Services Supervisor and discussed the purpose of the visit.

On 01/13/2026 - Licensing Program Analyst (LPA) Alberto Lopez conducted a 10-day complaint visit at the facility and met with Madeleine Sievert, Administrator, and discussed the purpose of the visit.
Investigation consisted of reviewing and obtaining staff roster, resident roster, R1 face sheet and medical assessment, interviewing six (6) staff, interviewing ten (10) residents, walked around and toured the facility and random rooms.

Allegation: Staff did not ensure that the facility was kept free of pests. It is alleged that resident’s room is infested with roaches and staff does not ensure it is kept free of pest.

(Continued on 9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026
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 5
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
01/05/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260105100911

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: DATE:
01/17/2026
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Blanca Soliz, Resident Services SupervisorTIME COMPLETED:
11:24 AM
ALLEGATION(S):
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Staff stole from resident in care.
Staff did not ensure that residents are regularly observed for changes in their condition
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez conducted a subsequent unannounced visit to deliver findings for the above-mentioned allegations. LPA met with Blanca Soliz, Resident Services Supervisorr and discussed the purpose of the visit.

On 01/13/2026 - Licensing Program Analyst (LPA) Alberto Lopez conducted a 10-day complaint visit at the facility and met with Madeleine Sievert, Administrator, and discussed the purpose of the visit.
Investigation consisted of reviewing and obtaining staff roster, resident roster, R1 face sheet and medical assessment, interviewing six (6) staff, interviewing ten (10) residents, walked around and toured the facility and random rooms.

The investigation revealed: regarding allegation: Staff stolen from resident in care. It is alleged that staff have stolen from resident in the past.
(continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 28-AS-20260105100911
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: 01/17/2026
NARRATIVE
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(continued from 9099A)
The investigation revealed: regarding allegation: Allegation: Staff stole from resident in care. It is alleged that staff have stolen from resident in the past.

LPA interviewed six (6) staff, and all six (6) staff denied the allegation. LPA interviewed ten (10) residents and seven (7) of ten (10) residents could not corroborate the allegation. There was a video provided to LPA, but it did not show staff taking any cash or other personal items from the residents. There were no witnesses. There is insufficient evidence to support this allegation

Allegation: Staff did not ensure that residents are regularly observed for changes in their condition. It is alleged that one resident had swollen ankle and staff did not observe or address the issue. LPA interviewed ten (10) residents and all ten (10) could not corroborate with the allegation. The resident in question stated that resident takes care of resident’s own needs and does not depend on facility to check on resident. Several residents stated that facility conducts wellness checks and are attentive to resident’s needs. There is insufficient evidence to support this allegation.

Based on interviews, record review and observation, 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 are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided to Blanca Soliz, Resident Services Supervisor

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

DATE: 01/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20260105100911
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: 01/17/2026
NARRATIVE
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(continued from 9099)

LPA inspected the room and did not observe any living pest. LPA observed one dead cockroach by the refrigerator, two small spiders inside the freezer door and two sacks of cockroach eggs on the floor. Two (2) roach eggs by the microwave oven. LPA interviewed six (6) staff and all six (6) staff stated that residents do not allow staff to dispose of uneaten food and that the food brings the cockroaches to the room. Administrator provided invoices showing pest control coming twice per month. However, the invoices do not show that the resident’s room has been treated during the bi-monthly treatments. LPA interviewed ten (10) residents and seven (7) of ten (10) residents could not corroborate the allegation. Three (3) residents stated they have observed roaches in their rooms. Due to lack of documented proof that resident’s room has been treated by pest control and observation and documentation of dead insects on the floor, the freezer door and cockroaches eggs in the resident’s room, the preponderance of evidence has been met, therefore the allegation is substantiated.

Based on LPAs observations and interviews and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 chapter 8 are being cited on the attached LIC 9099D.

A copy of the report and LIC9099D was given to Blanca Soliz, Resident Services Supervisor during the exit interview. Appeal rights provided.

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

DATE: 01/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 28-AS-20260105100911
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
01/27/2026
Section Cited
CCR
87303(a)
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87303(a) Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
This requirement is not met as evidenced by:
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Facility will address the cockroach and insect issue and send progress report that shows room 141 has been treated by pest control to LPA. Facility will remove all dead pest, roach eggs and insects from room and send proof to LPA by POC date of 01/27/2026
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Based on observations, interviews and documents reviewed, the resident’s room continues to have issues with cockroaches and other insects which poses a potential health and safety risk to residents in care. LPA observed dead spiders in freezer door, dead roach on the floor and 4 roach eggs in the room #141
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5