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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 04/23/2025
Date Signed: 04/23/2025 01:55:06 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
04/16/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250416154440
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: 105DATE:
04/23/2025
UNANNOUNCEDTIME BEGAN:
09:22 AM
MET WITH:Haigaz Kazazian - Business Office ManagerTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility staff does not ensure that resident has an adequate amount of food.

Facility staff does not ensure that resident has access to phone.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with Haigaz Kazazian and explained the reason for the visit.

LPA conducted physical plant tour at 9:43 AM, requested facility documents relevant to the investigation at 10:18 AM, reviewed facility records between 10:30 AM to 11:30 AM and interviewed witness and staff between 11:30 AM to 1:00 PM. Regarding the allegation that the facility staff does not ensure that resident has an adequate amount of food, it was alleged that Resident #1 (R1) is always still hungry. LPA's interview with the reporting party (RP) today at 12:18 PM revealed that it wasn't the facility who is withholding food for R1 but R1's family member. LPA's interview with Wellness director today at 10:48 AM, revealed that R1 is on Hospice services since admission about a month or so ago. LPA's record review today between 10:30 to 11:30 PM confirmed that R1 was on hospice services and currently on liquid diet per doctor's order lest R1 might choke on solid food due to R1's medical condition. (continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
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-20250416154440
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 WEST HOLLYWOOD
FACILITY NUMBER: 197610403
VISIT DATE: 04/23/2025
NARRATIVE
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continued from LIC 9099)

LPA's interview with R1's friend who was on R1's bedside during visit revealed that R1 was non-responsive for the last two (2) hours or since the friend arrived at R1's room.

Regarding the allegation that Facility staff does not ensure that resident has access to phone, it was alleged that R1's family member took R1's phone. LPA's interview with staff today revealed that everyone has access to phone at the facility as they have a cord less phone available for everyone. LPA's interview with the witness/friend today revealed that it was R1's doctor who advised the family member to take away the phone from R1 as it was a source of R1's anxiety. Further, R1's friend stated that R1 could no longer receive nor place a call at R1's current state.

Based on the information gathered during this visit, these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2