198603172-3-27-2025-28-AS-LHIS-DFRU2V-20250415151235

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603172
Report Date: 03/27/2025
Date Signed: 03/27/2025 02:19:14 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/21/2025 and conducted by Evaluator Nicol Wesley

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250321133648

FACILITY NAME:	SAVANT OF NORWALK		FACILITY NUMBER:	198603172
ADMINISTRATOR:	CHANEL A. SANCHEZ		FACILITY TYPE:	740
ADDRESS:	11515 FIRESTONE BLVD		TELEPHONE:	(562) 379-9200
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	80	CENSUS: 71	DATE:	03/27/2025
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Janice Anguiano		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility staff are not dispensing medication as prescribed.
Facility staff are not providing adequate activities to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nicol Wesley conducted a 10 day complaint visit at the facility and met with Monica Beltran to discuss the purpose of the visit. Shortly afterward Business Office Manager Janice Anguiano arrived and joined the visit.

Investigation consisted of: staff roster, resident roster, a copy of the activities schedule, reviewed medication log, interviewed staff, interviewed residents.

Investigation revealed:
Regarding allegation: Facility staff are not dispensing medication as prescribed. LPA Wesley interviewed residents, and they said that they are getting their medication as prescribed, interviewed staff #1 and they indicated that they have never made a mistake on the medication the log, the dosage, and the resident's name is right there, and their medications are separate. LPA Wesley interviewed staff 2 and they said they
Continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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 28-AS-20250321133648

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SAVANT OF NORWALK	FACILITY NUMBER: 198603172
	VISIT DATE: 03/27/2025

NARRATIVE

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have never given resident the wrong dosage of medication and tried to cover it up. LPA Wesley interviewed staff #3 and they indicated that they have never given a resident the wrong medication, they have a picture of the resident, list of medications, and they follow the instruction that the doctor orders. LPA Wesley interviewed 8 out of 8 residents and they said the staff have never issued them the wrong medication, and they are giving the medication as prescribed.
Based on interviews conducted, and information that was gathered, there is insufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Facility staff are not providing adequate activities to residents. LPA Wesley interviewed Activities Director who gave me a copy of the activities schedule and she indicated they have several activities for the residents and although the residents may not like to come out of their room, they encourage the residents to come out and join them. LPA interviewed 8 residents, 5 of the residents said they have activities and they like to participate in bingo, 2 of the residents indicated that they have bingo sometimes and not all of the time and they have movie night the other resident 1 said she has been at the facility for less than a week.
Based on interviews conducted, and information that was gathered, there is insufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of this report was given to Business Office Manager, Janice Anguiano.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

LIC9099 (FAS) - (06/04)

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