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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603136
Report Date: 03/17/2025
Date Signed: 03/17/2025 04:25:29 PM

Document Has Been Signed on 03/17/2025 04:25 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.RO, 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: 93DATE:
03/17/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Imelda Villanueva - Administrator TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 03/17/25, 9:30 am Licensing Program Analysts (LPAs) Nadia Shahbazian and Raymond Comer conducted an unannounced required annual inspection. LPAs met with Executive Director, Imelda Villanueva and explained the reason for the visit.

Facility is licensed as a two-story building.  Fire clearance approved for one hundred (100) non-ambulatory residents; ten (10) of whom may be bedridden. Hospice waiver approved for thirty (30) residents.



At 10:20 am, LPAs conducted a tour of the physical plant with the Administrator and observed the following:

Facility’s main door is the primary entry/exit access. In addition, the facility has eight (8) exit doors, four (4) exits on each floor. Screening/Reception area is located immediately upon entrance. Required postings were displayed at the reception area. Facility provides dementia care; LPAs observed delayed egress system working properly. Facility temperature is comfortable; wall thermostat displays a setting of 74.0° Fahrenheit. Physical plant was inspected for cleanliness; LPAs observed the facility as clean, sanitary, and appropriately furnished.

Continued on 809-C

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 BURBANK EAST
FACILITY NUMBER: 198603136
VISIT DATE: 03/17/2025
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Fire Detection/Protection system is present in the facility. Multiple dual smoke/carbon monoxide alarms are installed, hardwired, and interconnected throughout the Facility. Each room is equipped with fire suppression equipment. Multiple fire extinguishers were observed throughout of the facility. All fire extinguishers were serviced on 04/03/2024. Evacuation chairs were observed atop each stairwell. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. Emergency disaster plan is posted; last disaster drill was conducted on 12/17/2024. Last fire inspection was performed on 05/13/2024.

Kitchen: Facility’s kitchen was observed to be clean, sanitary, and inaccessible to residents. LPAs observed an adequate supply of perishable foods for two (2) days, and non-perishable food supply for seven (7) days located in the refrigerator, freezer, and pantry. Food was properly labeled and stored. Emergency food is stored in a separate locked area. Sharps are stored in the kitchen; inaccessible to residents. Detergents and chemicals were locked in a storage room across from the kitchen.

Common Areas: First floor has a dining room, living room, lobby/television room, outside and an inside patio area. Second floor has an activity room. Common areas observed to be clean and furnishings observed to be in good condition. No obstructions or hazards were observed.

Due to time constraints, LPAs were unable to complete today's annual inspection. LPAs will complete the inspection at a later date.



Exit interview was conducted, and copy of the report was given to facility Administrator.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
LIC809 (FAS) - (06/04)
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