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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603597
Report Date: 05/09/2026
Date Signed: 05/09/2026 11:31:30 AM

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
04/21/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260421112809
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: 144DATE:
05/09/2026
UNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Blanca Solis, Resdient Service SupervisorTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Staff do not assist resident with obtaining medical care
Staff do not ensure that resident's dietary needs are met
Staff have not provided resident with reappraisal
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez conducted a subsequent unannounced visit to deliver findings for abvoe allegations. LPA met with Blanca Soliz, Resdient Service Supervisor and discussed the purpose of the visit.
On 04/28/2026 Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced initial visit to investigate the above allegations. LPA met with Administrator Madeleine “Maddie” Sievert and discussed purpose of the visit. Regional Director of Operations Lisa Pham arrived a short time later and assisted with the visit.
The investigation consisted of LPA reviewing and obtaining copies of staff and resident rosters. R1 Face sheet, Physician’s report, Admission Agreement, needs and appraisal dated 02/28/2025 and 04/01/2026. Medication Administration Record for 03/2026 and 04/2026, Interview with five (5) staff (S#1 – S#5) ten (10) residents, three (3) incident reports, doctor order reducing medication for R1 and Dietary Communication Notification for R1 and tour of facility.
In between visits, LPA obtained reappraisal that was conducted on 02/05/2026 (Continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2026
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 3
Control Number 28-AS-20260421112809
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: 05/09/2026
NARRATIVE
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(continued from 9099)
The investigation revealed. Allegation: Staff do not assist resident with obtaining medical care. It is alleged that R1 requires B12 injection and bed rails to prevent falls, and that it is not provided by staff. Also, that resident is having additional falls due to missing the B12 injections. LPA interviewed five (5) staff, and all five staff denied the allegation. LPA interviewed ten (10) residents and nine (9) of ten (10) residents could not corroborate the allegation. LPA attempted to contact R1 via phone at least six (6) times and left voice mail but did not get a return call. One staff member stated that there is no doctor’s order for B12 injections or bed rails which are required for facility staff to provide those. LPA reviewed resident’s order for B12, and the dose was lowered on 12/18/2026 from 1000mg tablet daily to every other day. One staff member stated that the tablet has the same effect unless the resident’s absorption is not good. There is no evidence that resident has absorption issues. One staff member stated that staff will follow up with the resident’s doctor to ask for B12 injection order to see if that has positive effect and reduce frequency of falls. The facility provided incident reports for two (2) falls total. There is insufficient evidence to support this allegation.

Allegation: Staff do not ensure that resident's dietary needs are met. It is alleged that resident is unable to chew food properly and almost choked on some food recently. LPA interviewed five (5) staff, and all five (5) staff denied the allegation. LPA interviewed Ten (10) residents and nine (9) of ten (10) residents could not corroborate the allegation. There is currently a doctor’s order on file for mechanical/soft diet for R1 dated 07/28/2025. Dietary staff stated that order is being honored and that resident changes mind and can go back and forth on dietary wants. There is insufficient evidence to support this allegation.

Allegation: Staff have not provided resident with reappraisal. It is alleged that facility has not conducted a reappraisal for resident since resident was admitted on 02/28/2025. LPA interviewed five (5) staff, and all five (5) staff denied the allegation. LPA interviewed Ten (10) residents and nine (9) of ten (10) residents could not corroborate the allegation. Records show that resident did not undergo a “significant change" in physical, cognitive, behavioral, or functional condition to warrant a reappraisal prior to 2/05/2026. Records reviewed show that a reappraisal for resident was conducted on 02/05/2026 and on 04/01/2026. Which is following Department Regulations. There is insufficient evidence to support this allegation. (continued on 9099C)

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

DATE: 05/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 28-AS-20260421112809
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: 05/09/2026
NARRATIVE
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(continued from 9099C)

Based on interviews with staff and residents and records review, the information obtained during the investigation is insufficient 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
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3