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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610366
Report Date: 03/05/2025
Date Signed: 03/05/2025 02:01:11 PM

Document Has Been Signed on 03/05/2025 02:01 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: 91DATE:
03/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Marilou MendozaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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At approximately 11:15 a.m. on 03/05/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the administrator and disclosed the reason for the visit.

Today’s case management visit was conducted after the facility submitted an incident report regarding Resident #1 (R1) having a fall outside of the community while intoxicated. LPA toured the facility at 11:20 a.m. today, interviewed staff and residents between 11:30 a.m. and 1:00 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 12:00 p.m.

Interview with Staff #1 (S1) at 11:45 a.m. today revealed some residents have a drinking alcohol in the facility at night. Record review of R1’s medical assessment revealed they are able to leave the facility unassisted and do not have a substance abuse problem. Interview with Staff #2 (S2) at 12:15 p.m. today revealed staff are aware of multiple residents drinking alcohol in the facility. S2 further stated that staff have not received training on providing care and supervision to residents with substance abuse problems. Interview with the administrator today at 1:30 p.m. revealed the facility can issue a training for all staff on dealing with substance abuse issues as well as updating the facility program plan to address care of residents with substance abuse issues.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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