197610403-2-14-2026-31-AS-NGID-DRKTM9-20260223135046

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 02/14/2026
Date Signed: 02/14/2026 11:30:35 AM

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
02/24/2025 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250224091447

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:	02/14/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Marina Adan		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

1. Due to staff neglect, resident has had multiple falls resulting in injuries
2. Staff did not conduct a reassessment of residents needs resulting in neglect of resident

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tuesday Cabiness met with med-tech Marina Adan and informed her the reason of the visit. Administrator Adam Syncheff was not available, but was notified the reason of the visit. Today's visit was to deliver the final findings of the allegations mentioned above.

Allegation #1: It was alleged that staff neglect resulted in Resident #1 (R1) experiencing multiple falls, which led to injuries.

To investigate the allegation, on 03/06/2025, from 12:30 p.m. to 2:30 p.m., (LPA) Raymond Cromer conducted an initial complaint visit to gather evidence and obtain documentation related to the allegation. On 10/21/2025 and 12/23/2025, from 9:00 a.m. to 2:00 p.m., LPA Tuesday Cabiness conducted subsequent visits to interview six (6) staff members and numerous residents. Additional documentation pertinent to the allegation was also obtained and reviewed.
(see LIC9099C -cont'd)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2026

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 3

Control Number 31-AS-20250224091447

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: 02/14/2026

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

According to the complaint, R1 had been admitted to the hospital several times within the past year for various reasons, including falls and related injuries. Medical records reviewed revealed R1 has been diagnosed with a nervous system disorder resulting in an unstable gait, as well as other significant medical conditions. Documentation further identified R1 as generally independent but requiring staff assistance with certain activities of daily living (ADLs).

Interviews with staff and documentation from medical professionals indicated R1 was advised to use assistive devices for mobility, which were provided by the facility. However, R1 was reported to be resistant to using assistive devices and selective in accepting staff assistance. Staff further reported that during a period of medication changes and other medical concerns, R1 exhibited behavioral changes that may have contributed to an increase in falls. Incident reports documented that R1 experienced un-witnessed falls resulting in injuries. However, facility records and medical documentation consistently reflected that R1’s falls were associated with documented medical conditions, including an unstable gait, neurological issues, and refusal to utilize assistive devices despite staff encouragement. Residents interviewed reported they were generally independent. While residents acknowledged that falls occurred, they stated that staff provided assistance when notified or contacted. Based on a review of facility and resident documentation, incident reports, medical records, and interviews with staff, there is insufficient evidence to prove that staff intentionally neglected R1, resulting in multiple falls and injuries. Therefore, the allegation is determined to be Unsubstantiated at this time.

Allegation #2: It was alleged that staff failed to conduct a reassessment of Resident #1’s (R1) needs, resulting in neglect.

To investigate the allegation, on 03/06/2025, from 12:30 p.m. to 2:30 p.m., Licensing Program Analyst (LPA) Raymond Cromer conducted an initial complaint visit to gather evidence and obtain documentation related to the allegation. On 10/21/2025 and 12/23/2025, from 9:00 a.m. to 2:00 p.m., LPA Tuesday Cabiness conducted subsequent visits to interview six (6) staff members and numerous residents. Additional documentation pertinent to the allegation was obtained and reviewed.

(LIC9099C cont'd)

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 31-AS-20250224091447

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: 02/14/2026

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

Records reviewed revealed that R1 was admitted to the facility on 05/08/2023. Prior to admission, on 05/02/2023, facility staff conducted a pre-admission assessment and obtained medical records. Documentation reflected that R1 was diagnosed with a nervous system disorder resulting in an unstable gait, as well as other significant medical conditions.

Documentation further revealed that on 04/09/2024, R1 was assessed for participation in the Assisted Living Waiver (ALW) Program through the Department of Health Services (DHS). A comprehensive assessment was conducted at that time to determine eligibility and level of care needs. R1 also received home health services during 2024. A follow-up reassessment was conducted with DHS on 10/11/2024.

Records reviewed indicated that facility staff implemented and assisted with the care plan developed in coordination with DHS and home health providers. Documentation reflected ongoing monitoring of R1’s condition, including updates to needs and service plans, communication with R1’s primary care physician, documentation of health changes, and completion of incident reports as appropriate.

Records further indicated that R1 experienced hospitalization's beginning in approximately October 2024 and again in early January 2025. Facility documentation reflected updates to R1’s medical records and continued monitoring of health status following hospitalization's.

Based on the review of resident records, assessment documentation, care plans, physician communications, and interviews conducted with staff, there is insufficient evidence to support that facility staff failed to reassess R1’s needs or that neglect occurred as alleged.

Therefore, the allegation is determined to be Unsubstantiated at this time.

Exit interview and copy of report provided to staff.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3