<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 04/07/2025
Date Signed: 04/07/2025 03:03:01 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
04/01/2025 and conducted by Evaluator Antonia Alvizar-Ettima
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20250401083408
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: 104DATE:
04/07/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Executive Director (ED), Adam SyncheffTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure that resident's bed is in good working order
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 9:45a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima made an initial complaint visit to investigation of the above stated allegation. LPA was greeted by Concierge, Emily Cordova granted LPA entrance and contacted Executive Director (ED).

ssssAt about 10:05a.m., LPA met the ED and explained the reason for the visit. At 10:12a.m., LPA request and received resident and staff rosters. At 10:15a.m., ED and LPA conducted a physical plant tour. Between 10:30a.m – 11:45a.m., LPA conducted interviews with ten (10) out of one hundred- four (104) residents including resident #1 (R1), ED, Maintenance Director and four (04) staff. LPA asked questions relevant to the nature of the complaint. At approximately 11:55a.m., LPA request resident #1 (R1) Physician Report, Preplacement Appraisal and other relevant documents.

Cont. on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2025
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-20250401083408
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: 04/07/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Cont. from LIC9099

Staff do not ensure that resident's bed is in good working order.

It was alleged that resident #1 (R1) hospital electric bed has roll up on top of them like an accordion three (03) times. During physical plant tour LPA inspected resident #1 (R1) hospital electric bed. R1 demonstrated how the bed operates. R1 indicated that bed is working correct and did not know why the bed was not rolling up like an accordion. LPA inspected and checked the operation of the bed in R1’s room and did not observe the bed rolling up. ED interview revealed that R1 never reported that the bed rolled up on top of them. ED insists that the bed is adjustable for changing the resident or setting it for positioning. Maintenance Director interview revealed that R1 did not notify facility staff regarding bed rolling up on top of them like an accordion. Residents interview revealed their hospital bed only moves when they press a button on the remote control their beds are in good working order and had no issues. Staff interviews confirm the information provided by ED and Maintenance Director.

Based on interviews and observations, there is not enough sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards were noted during the visit.

Exit interview was conducted and a copy of the report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2