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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 04/29/2025
Date Signed: 04/29/2025 02:19:51 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: 104DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Adam SyncheffTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not administer resident’s medications as prescribed-
INVESTIGATION FINDINGS:
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At 8:30 am, Tuesday, 4/29/25, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a subsequent visit regarding the allegation listed above. LPA conducted the initial complaint visit on 3/28/25. LPA met with facility Administrator, Adam Syncheff, presented official CDSS badge identification, and reason for the visit was disclosed.

At 8:40 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 8:55 am, LPA recieved and reviewed Resident 1's (R1) file. LPA also conducted interviews with the Administrator, Staff and Residents.


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

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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: 04/29/2025
NARRATIVE
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Allegation: Staff did not administer resident’s medications as prescribed. - The reporting party, (RP) alleges that Staff do not administer R1's medications as prescribed.
LPA interviews with Medical Technician Staff revealed the following: S1, S2 and S3 refute this allegation, stating that R1's medications are administered as prescribed. Interviewed staff state that R1 frequently demands her medications be provided immediately upon request. However, per med tech staff, if R1 has already taken her medications, R1 must wait another six (6) or twelve (12) hours, depending on the prescription, before subsequent meds can again be administered. Per med tech staff, when explaining to R1 that staff must wait the required passage of time until subsequent medication can be provided, R1 "acts out" becoming verbally aggressive and acuses staff of "holding out" and refusing to provide R1 her meds.
LPA review of R1's file revealed the following: Records review of R1’s Medication Administration Record (MAR) showed R1 received staff assistance with their medications, as required. No entries in the MAR were blank or missing.
LPA interview with Resident#2 (R1's roommate) revealed the following: Per R2, R1 "is constantly telling staff to give her pills throughout the day" stating that if staff make R1 wait, "she [R1] "will yell and complain that staff are breaking the law". R2 confirms witnessing staff provide R1 her medications on a daily basis stating that R1 needs to "calm down and let the med staff do their job".
LPA interviews with ten (10) out of one hundred and four (104) total facility residents revealed the following: ten (10) out of ten (10) residents interviewed confirm that staff assist them providing their medications consistently.

Based on the information obtained, there is insufficient evidence to corroborate the allegation that staff do not administer resident's 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: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
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