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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603136
Report Date: 03/04/2025
Date Signed: 03/04/2025 02:57:25 PM

Document Has Been Signed on 03/04/2025 02:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:SAVANT OF BURBANK EASTFACILITY NUMBER:
198603136
ADMINISTRATOR/
DIRECTOR:		ACHARYA, NIRJARAFACILITY TYPE:
740
ADDRESS:1900 GRISMER AVETELEPHONE:
(818) 843-3141
CITY:BURBANKSTATE: CAZIP CODE:
91504
CAPACITY: 100CENSUS: 95DATE:
03/04/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Imelda VillanuevaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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At 11:20 a.m. on 03/04/25, Licensing Program Analyst (LPA) Nicholas Reed and Licensing Program Manager (LPM) Naira Margaryan conducted an unannounced case management visit. LPA and LPM met with the administrator and disclosed the reason for the visit.

Today’s case management visit was conducted in conjunction with a collateral visit for complaint #31-AS-20250303144817 to ensure the three (03) residents relocated from Rossmoyne Hills (197610495) were afforded their health and safety at their current home.

LPA toured the facility at 11:30 a.m. today, interviewed the administrator at 11:35 a.m., Resident #5 (R5) at 11:40 a.m., and Resident #3 (R3) at 12:35 p.m., and conducted a record review of pertinent files including but not limited to the staff and client rosters at 12:45 p.m. Interview with the administrator revealed Resident #1 (R1) left the facility yesterday to live with their family. Interviews with R3 and R5 revealed they enjoy their current facility, and all of their needs are taken care of.

LPA and LPM concluded the visit and provided contact information to both residents in care.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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