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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 03/28/2025
Date Signed: 03/28/2025 03:23:59 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.RO, 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
03/27/2025 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20250327094450
FACILITY NAME:SAVANT OF WEST HOLLYWOODFACILITY NUMBER:
197610403
ADMINISTRATOR:ADAM SYNCHEFFFACILITY TYPE:
740
ADDRESS:1025 N FAIRFAX AVETELEPHONE:
(323) 656-7900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:130CENSUS: 106DATE:
03/28/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Adam SyncheffTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not administer resident’s medications as prescribed-
INVESTIGATION FINDINGS:
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At 9:45 am, Friday, 3/28/25, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced, initial 10-day complaint visit to invesitgate the above allegation. LPA met with Administrator, Adam Syncheff, presented official CDSS badge identification, and reason for the visit was disclosed.

At 10:00 am, LPA conducted a physical plant tour; no health and safety issues were observed.

To investigate the allegation, LPA received Facility resident roster, and staff roster. At 10:30 am, LPA recieved and reviewed Resident 1's (R1) file. Between 11:05 am and 1:40 pm, LPA conducted interviews with the Administrator, Three (3) Staff, the Reporting Party (RP), and ten (10) residents.

[LIC 9099C]- Continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
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-20250327094450
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SAVANT OF WEST HOLLYWOOD
FACILITY NUMBER: 197610403
VISIT DATE: 03/28/2025
NARRATIVE
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Allegation: Staff did not administer resident’s medications as prescribed- It is alleged that night staff-Med Tech (S2) did not distribute Resident#1 (R1's) medications, as prescribed.

LPA interviews with staff revealed the following: Both the Administrator, Staff#1 (S1) and (S2) refute the allegation, stating that R1's medications are consistently administered, as prescribed. Staff state that R1 frequently requests "as needed" PRN pain medications, such as OXYCODONE, or TRAMADOL. However, R1 does not wait for the prescribed "once every four hours" or "once every twelve hours" time window before requesting staff to provide her the aforementioned medications. Staff state they must temporarily withhold administration of these pain medications to R1 when she requests taking said medications outside the prescribed time frames.

LPA review of R1's Medication Administration Records (MAR) lists all medications; staff notations are consistent and in good order.

LPA Interviews with ten (10) residents revealed the following: Nine (9) out of ten (10) residents state having no issues with medication assistance, stating that med staff administer medications on a consistent basis, as prescribed.



Based records review, and interviews with residents and staff, the facility assisted R1 with the proper administration of their medications, as prescribed. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2