197610403-7-15-2025-31-AS-NGID-DLVPSJ-20250926113423

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 07/15/2025
Date Signed: 07/15/2025 02:21:18 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
07/11/2025 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20250711112216

FACILITY NAME:	SAVANT OF WEST HOLLYWOOD		FACILITY NUMBER:	197610403
ADMINISTRATOR:	ADAM SYNCHEFF		FACILITY TYPE:	740
ADDRESS:	1025 N FAIRFAX AVE		TELEPHONE:	(323) 656-7900
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	130	CENSUS: 105	DATE:	07/15/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Adam Syncheff		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Lack of supervision resulting in resident being assaulted by another resident-

INVESTIGATION FINDINGS:

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At 10:05 am, Tuesday, 7/15/25, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct an initial 10-day visit to investigate the above allegation. LPA met with the facility Administrator, presented official CDSS badge identification, and reason for the visit was disclosed.

At 10:15 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 10:35 am, LPA recieved Resident#1 (R1) and Resident#2 files and conducted a review of the documents. Between 11:00 am, and 12:45 pm, LPA conducted interviews with the Reporting Party, (RP) 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: 07/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250711112216

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: 07/15/2025

NARRATIVE

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Allegation: Lack of supervision resulting in resident being assaulted by another resident- The RP states that R1 was assaulted by R2 (R1's roommate) in their shared bedroom.

To investigate the allegation, LPA conducted an interview with the RP, which revealed the following: Per the RP, R1 reported to their Primary Care Physician (PCP) that R2 slapped R1 in the face, attempted to grab R1's clothing in the torso area, and pulled R1's hair. Although the allegation states that "lack of supervision" resulted in R1 being assaulted by R2, the RP states that R1 did not report any supervision issues to either the RP, nor R1's PCP.

LPA conducted interviews with the Administrator, and Staff, which revealed the following: The incident occurred on the morning of 7/10/25, around 9:00 am. Both administrator and staff state that an argument was heard between R1 and R2 coming from their shared bedroom. The Administrator denies that "lack of supervision" was a factor in the incident. Per the Administrator, this incident was the first time that interactions between R1 and R2 resulted in any physically aggressive action. During R1's tenure of residency, R1 has a history of confusion, but has never acted in an aggressive manner. Per both Administrator, and Staff, R2 prefers to stay in their room most of the day reading and watching television. R2 does not socialize amongst the community, is easily provoked to react with verbal insults, but has no history of being aggressive towards either residents or staff.
Per the Administrator, and Staff, R1 and R2 were heard arguing, prior to any physical altercation, and staff immediately attempted to de-escalate the situation. It was at this time that R2 suddenly reacted, slapping R1. According to both the Administrator, and Staff, neither residents sustained any injuries during the conflict. Per Admin, R1 has been moved to a different bedroom and assigned a new resident roommate.

LPA conducted interviews with ten residents. Nine (9) out of ten (10) residents could not confirm the allegation that lack of supervision resulted in physical assault committed between residents.

Although there was an altercation between R1 and R2, leading to R2 striking R1, there is not corroborating evidence to support the allegation, as staff were present to intervene and redirect both residents. Moreover, licensee did submit an Incident Report (IR) to the Licensing agency regarding the incident.

Therefore, based on the information obtained, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025

LIC9099 (FAS) - (06/04)

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