198320378-5-29-2025-11-AS-SCIS-DKRQRW-20250821122432

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 05/29/2025
Date Signed: 05/29/2025 11:45:47 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/17/2025 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250317141858

FACILITY NAME:	SAVANT OF SANTA MONICA		FACILITY NUMBER:	198320378
ADMINISTRATOR:	NARINE MERTKHANYAN		FACILITY TYPE:	740
ADDRESS:	1447 17TH STREET		TELEPHONE:	(310) 829-5904
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90404
CAPACITY:	174	CENSUS: 100	DATE:	05/29/2025
		UNANNOUNCED	TIME BEGAN:	11:07 AM
MET WITH:	NATHANIEL VENZON - Executive Director.		TIME COMPLETED:	11:08 AM

ALLEGATION(S):

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Facility staff are not dispensing medication as prescribed.
Facility staff are not safeguarding residents personal property

INVESTIGATION FINDINGS:

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+This report supersedes the report dated 03/27/2025. It does not supersede the findings but is being used to clarify the findings.

On 05/29/2025, Licensing Program Analyst (LPA) Troy Watson conducted a subsequent visit to deliver findings for the allegations listed above. LPA Watson met with the Executive Director Nathaniel Venzon and explained the purpose of the visit was to deliver findings and was granted entry. On 03/26/25 LPA Watson requested, obtained and reviewed from the following documents: Administration Records (MAR’s) dated (03/2025), and Resident Theft and Loss Records for Residents #1- #6. On 03/26/25 interviews were conducted with Staff#1-Staff#8 (S1-S8) and Residents #1 – Residents#6 (R1-R6).

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

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 11-AS-20250317141858

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: SAVANT OF SANTA MONICA	FACILITY NUMBER: 198320378
	VISIT DATE: 05/29/2025

NARRATIVE

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The Investigation consisted of the following.

Allegation: Facility staff are not dispensing medication as prescribed.

It is alleged that staff are administering medication as a cream, and not the powder prescribed. On 03/27/2025 LPA Watson toured the medication room and reviewed facility records. Per medication administration log (MAR) for R1 has been consistently receiving the correct medication for wound treatment which has been documented on the MAR as being administered as a powder. On 03/26/2025 LPA conducted interviews with Staff #1- Staff #8 (S1-S8). Of those interviewed 8 out of 8 staff denied the above allegation. On 03/26/25 the department conducted interviews with Resident #1 – Resident # 6 (R1 -R6). Of those interviewed 6 out of 6 residents denied the above allegation

Allegation: Facility staff are not safeguarding residents’ personal property.

It is alleged that medical cards and documents were stolen from Resident #1’s (R1) room. On 03/26/2025 the department interviewed the Executive Director Nathaniel Venzon about (R1’s) alleged stolen medical cards and documents. During the interview Nathaniel Venzon stated that it was reported to him by Resident #1 (R1) that items were missing and or stolen during a move from one room to another. Executive Director Nathaniel Venzon stated that he filed a Theft and Loss Report on behalf of (R1) but R1'S items were later found and returned.On 03/26/25 the department conducted interviews with Staff #1- Staff #8 (S1-S8). Of those interviewed 8 out of 8 staff denied the above allegation. On 03/26/25 the department interviewed Resident #1 – Resident #6 (R1 -R6). Of those interviewed 5 out of 6 denied the above allegation.

Based on the information collected from the facility, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. While the allegation may be valid or have occurred, there is insufficient evidence to establish whether the alleged violation took place or did not. Therefore, the allegation is deemed unsubstantiated.

An exit interview was conducted with the Wellness Director Brooke Lamotte and a copy of this report was given.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

LIC9099 (FAS) - (06/04)

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