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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 04/07/2026
Date Signed: 04/07/2026 02:02:06 PM

Substantiated


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
09/05/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20250905102718
FACILITY NAME:SAVANT OF SANTA MONICAFACILITY NUMBER:
198320378
ADMINISTRATOR:NATHANIEL VENZONFACILITY TYPE:
740
ADDRESS:1447 17TH STREETTELEPHONE:
(310) 829-5904
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:174CENSUS: 130DATE:
04/07/2026
UNANNOUNCEDTIME BEGAN:
01:48 PM
MET WITH:Joe Saldana-AdministratorTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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Allegation 2: Staff inappropriately spoke to resident.
INVESTIGATION FINDINGS:
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***This report supersedes the original report delivered on 12/10/2025 On 4/7/2026, LPA Allen arrived at the facility to deliver the corrected 9099, providing clarification on the original report issued on 12/10/2025. ***

On 12/10/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver findings for the alleged allegation. LPA identified herself and met with Administrator Nathaniel Venzon who was informed of the purpose of the visit.

The investigation consisted of the following:

On 9/9/2025, At 11:30 AM, LPA Allen requested the following documents: staff and resident roster dated 9/9/2025, LPA conducted interviews with Resident 1-11 (R1-R11) and Staff members 1-7 (S1-S7). LPA also requested that Brooke Lamotte-wellness director provided Resident 1 (R1) file which consisted of
Continued.....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
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 4
Control Number 11-AS-20250905102718
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: 04/07/2026
NARRATIVE
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R1s admissions agreement 5/8/2025, pre-placement, face-sheet, emergency information, physicians report & needs and service plan dated 5/8/2025 by email on 9/10/2025.

At 2:30PM LPA conducted a tour of the facility which consisted of the dining and kitchen area and nine (9) residents’ bedrooms 56,65,57,59,55,18,20, 25, and 16.
The investigation revealed the following:

Allegation 2: Staff inappropriately spoke to resident.

On September 9, 2025, Licensing Program Analyst (LPA) conducted interviews with Residents 1- 11 (R1–R11). Resident 1 (R1) reported that Staff inappropriately spoke to them about matters that were unrelated to their care. Resident 2 (R2) stated that they also heard S1 speaking to R 1 inappropriately by making inappropriate comments that were unrelated to caregiving. Residents 3-11 (R3–R11) reported that they had not experienced being spoken to inappropriately by any staff members.

On 12/10/2025, LPA attempted to interview Staff 1 (S1); however, S1 was unavailable during the investigation and did not respond to phone contact made. Staff 2 (S2) and Staff 3 (S3) reported that S1 admitted to speaking to Resident 1 (R1) inappropriately while providing care on 9/1/2025.


They stated they were aware of the allegation and that an internal investigation had been initiated. During this investigation, S1 was placed on probation and later terminated for violating company policy and failing to complete the introductory period. Staff members S4, S5, S6 and S7 stated that they did not personally witness or hear S1 speaking inappropriately to R1, but they were aware of the incident through other sources.

Continued.......

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 11-AS-20250905102718
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: 04/07/2026
NARRATIVE
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On 9/9/2025, LPA reviewed email correspondence sent to S1 on 9/4/2025 and S1’s personnel file that Included a notice of suspension and notice of separation form dated 9/9/2025 which reflected that S1 failed to complete their introductory period of employment and violated company policy. The LIC624 received stated that the resident in care was inappropriately spoken to on 9/1/2025 and SOC341 which was self reported to Ombudsman.

Based on interviews conducted and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Continued ....

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20250905102718
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/10/2025
Section Cited
CCR
87468.1(a)(3)
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87468.1 Personal Rights of Residents in All Facilities
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature.....
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The POC was cleared during the visit on 9/9/2025.
LPA was provided documents that shows S1 last day of work as 9/1/2025 which was signed by S1.
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This requirement was not met as evidenced by:
Based on interviews and records reviewed it was determined that S1 was suspended on 9/1/2025 and separated from employment on 9/19/2025 for inappropriate workplace conduct and unprofessional interactions involving resident(s) R1.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4