198603172-5-6-2025-28-AS-DSIS-DHCNN9-20250605103620

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603172
Report Date: 05/06/2025
Date Signed: 05/06/2025 02:57:47 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
04/29/2025 and conducted by Evaluator Nicol Wesley

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250429100520

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: 73	DATE:	05/06/2025
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Janice Anguiano and David Hernandez		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Financial abuse of deceased resident.
Staff did not notify resident's authorized representative of death.
Staff did not safeguard client's personal belongings.
Facility is not properly managing resident's medication.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nicol Wesley conducted a 10 day complaint visit at the facility and met with Business Office Manager Janice Anguiano and shortly afterwards Executive Director David Hernandez arrived and joined the visit.

Investigation consisted of: staff roster, resident roster, reviewed medication log, interviewed staff, and retrieved specific items from residents1 and residents 2 file.

Investigation revealed:
Regarding allegation: Financial abuse of deceased resident. LPA Wesley reviewed resident file and it indicated that they were self responsible and LPA observed in the file a RFMS(Resident Fund Management Service) sheet that showed payments to the facility with the last payment made on 12/06/24. It also showed that the account was closed and the resident expired on 12/28//24. The facility did not abuse any of the residents funds because he was self responsible and handled his own funds.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025

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-20250429100520

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: 05/06/2025

NARRATIVE

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Regarding allegations: Staff did not notify residents authorized representative of death and Staff did not safeguard client's personal belongings. Resident was away from the facility since 12/11/24 and passed away on 12/28/24 at the hospital. They notified the responsible parties on file. They called the first person on file and they were not answering the phone and the voice mail box was full, and they called the second person on file and spoke to them and they came to the facility to pick up the belongings and advised the facility to donate or give away the things they did not want.

Regarding allegations: Facility is not properly managing resident's medication. LPA Wesley received a copy of resident 1 and resident 2 medications list and spoke to the Lead Medical Technician and Wellness Coordinator who said that both of the residents were taking their medication on time and they were in compliance. LPA Wesley was unable to speak to resident 2 because they are in the hospital.

Based on interviews conducted, and information that was gathered, there is insufficient evidence to support the allegation(s). Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

A copy of this report was given to the Executive Director David Hernandez and Business Office Manager, Janice Anguiano.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025

LIC9099 (FAS) - (06/04)

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