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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603137
Report Date: 03/04/2025
Date Signed: 03/04/2025 02:56:50 PM

Document Has Been Signed on 03/04/2025 02:56 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 WESTFACILITY NUMBER:
198603137
ADMINISTRATOR/
DIRECTOR:		VALDEZ, SILVIAFACILITY TYPE:
740
ADDRESS:1911 GRISMER AVETELEPHONE:
(818) 295-2727
CITY:BURBANKSTATE: CAZIP CODE:
91504
CAPACITY: 100CENSUS: 90DATE:
03/04/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Silvia ValdezTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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At 1:15 p.m. on 03/04/25, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the administrator and disclosed the reason for the visit.

Today’s case management visit was conducted 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 1:15 p.m. today, interviewed Resident #2 (R2) at 1:30 p.m., Resident #4 (R4) at 1:35 p.m., and the administrator at 1:45 p.m. Interview with the administrator revealed Resident #6 (R6) stayed temporarily at the facility for a day. After an assessment, R6 was determined to have needs which were beyond the capacity of the facility and was replaced to a skilled nursing facility. Interviews with R2 and R4 revealed they enjoy their current facility, and all of their needs are taken care of by staff.

LPA 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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