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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610366
Report Date: 07/16/2024
Date Signed: 07/16/2024 04:22:43 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20240528173514
FACILITY NAME:SAVANT OF TARZANAFACILITY NUMBER:
197610366
ADMINISTRATOR:RITA MELDONIANFACILITY TYPE:
740
ADDRESS:5711 RESEDA BLVDTELEPHONE:
(818) 996-2022
CITY:TARZANASTATE: CAZIP CODE:
91356
CAPACITY:176CENSUS: 75DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Rita MeldonianTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff are allowing resident(s) to smoke in non-smoking areas of the facility
INVESTIGATION FINDINGS:
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At 9:15 a.m. on 07/16/24, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced, subsequent complaint visit. LPA met with the Executive Director (ED) and disclosed the reason for the visit.

To investigate the allegation above, LPA conducted an initial visit on 05/29/24 and interviewed the ED at 12:15 p.m. and toured the facility at 12:45 p.m. LPA conducted a subsequent visit on 07/12/24 and interviewed ten (10) percent of residents, or eight (08) out of seventy-three residents between 9:00 a.m. and 3:00 p.m. Today, LPA interviewed six (06) staff between 9:00 a.m. and 3:30 p.m. and toured the facility at 10:00 a.m.

Regarding the allegation ““Staff are allowing resident(s) to smoke in non-smoking areas of the facility” it was alleged staff allowed residents to smoke in a central courtyard which affected residents’ comfort and health.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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 31-AS-20240528173514
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SAVANT OF TARZANA
FACILITY NUMBER: 197610366
VISIT DATE: 07/16/2024
NARRATIVE
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Interview with the ED revealed some residents were smoking in the courtyard at night due to safety concerns in the designated smoking area. The ED addressed the issue during a May 2024 resident’s council meeting in which the facility’s house rules were reiterated. The ED purchased “No Smoking” signs in June 2024 and posted them around the courtyard perimeter and in the courtyard. The ED also noted that staff told residents they were not allowed to smoke in the courtyard. Four (04) signs were observed during today’s facility tour. Seven (07) out of seven (07) residents interviewed on the first and second floor whose rooms had windows and doors facing the courtyard stated they were not affected by smoke and did not see anyone smoking in the courtyard. Interview with Staff #1 (S1) at 11:00 a.m. today revealed the new signs worked and residents did not smoke in the courtyard. Interview with Staff #2 (S2) and Staff #3 (S3) at 11:30 a.m. and 3:15 p.m. today revealed residents smoke in the garage at night, which is safe and comfortable for them and other residents. Based on interviews, the facility is not allowing residents to smoke in non-smoking areas. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2