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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610366
Report Date: 10/18/2024
Date Signed: 10/18/2024 01:52:36 PM

Document Has Been Signed on 10/18/2024 01:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
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 TARZANAFACILITY NUMBER:
197610366
ADMINISTRATOR/
DIRECTOR:
RITA MELDONIANFACILITY TYPE:
740
ADDRESS:5711 RESEDA BLVDTELEPHONE:
(818) 996-2022
CITY:TARZANASTATE: CAZIP CODE:
91356
CAPACITY: 176CENSUS: 79DATE:
10/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Marilou MendozaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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At 8:30 a.m. on 10/18/24 Licensing Program Analyst (LPA) Nicholas Reed and Licensing Program Manager (LPM) Naira Margaryan conducted an unannounced case management visit. LPA met with staff and later the administrator and disclosed the reason for the visit.

Today’s case management visit was conducted to survey the facility for appropriate areas to designate for smoking as well as to address any areas of noncompliance and provide guidance. LPA and LPM conducted a facility tour at 8:30 a.m. and noted the following observations:

The door to a maintenance storage area near the garage was open. The hallway to the maintenance storage area had a small tripping hazard and a blemish on the wall. Tour of the courtyard revealed some unused items like a pedestal and some cans needed to be disposed. Two (02) screen doors leading to the courtyard needed to be fixed. A face plate in the culinary director’s office area needed to be remounted. The recently repaired area in the kitchen needed to be retiled. Lastly, the laundry area was accessible and unattended.

LPA and LPM addressed these concerns around 9:45 a.m. with the administrator and the Vice President of Operations. LPA and LPM also discussed plans for carpet cleaning or flooring renovations, staff training procedures, laundry procedures, ensuring residents’ abilities to attend appointments, and a plan for updating resident, personnel, and facility files. The facility plans to gradually improve all areas of operations within reasonable time frames. Also, the administrator agreed that all facility files can be updated by the end of November 2024. LPA will return at that time to audit files.

No deficiencies are assessed at this time.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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