198320378-8-12-2025-11-AS-SCIS-DKRQRV-20250821122432

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 08/12/2025
Date Signed: 08/12/2025 11:58:01 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: 116	DATE:	08/12/2025
		UNANNOUNCED	TIME BEGAN:	09:27 AM
MET WITH:	NATHANIEL VENZON - ADMINISTRATOR		TIME COMPLETED:	12:00 PM

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 03/27/25. It does not supersede the findings but is being used to clarify the findings. **

On 03/27/2025, Licensing Program Analyst (LPA) Troy Watson conducted a subsequent visit to deliver findings for the allegations listed above. LPA Watson met with Wellness Director Brooke Lamotte explained the purpose of the visit and was granted entry.

The investigation consisted of the following

On 03/26/25 LPA Watson requested, obtained and reviewed the following documents: Medication Administration Records (MAR’s), 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: 08/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

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: 08/12/2025

NARRATIVE

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The Investigation revealed the following

Allegation: Facility staff are not dispensing medication as prescribed.

It is alleged that staff are administering medication as a cream, not the powder prescribed. On 03/27/2025 LPA Watson toured the medication room and reviewed facility records. Per medication administration log (MAR) dated 03/2025, R1 has been consistently receiving the correct medication for her 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 LPA conducted interviews with Resident #1 – Resident #6 (R1-R6). Of those interviewed 6 out of 6 staff denied the above allegation. Based on the information collected from the facility, observations, interviews, and records analysis, LPA Watson 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.

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 LPA Watson interviewed Executive Director Nathaniel Venzon about(R1’s) allegedly 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 a Theft and Loss Report was filed on behalf of (R1), but R1’s items were later found and returned. On 03/26/2025 LPA Watson 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 LPA Watson 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, LPA Watson 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: 08/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

LIC9099 (FAS) - (06/04)

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