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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 08/26/2026
Date Signed: 08/26/2026 02:47:51 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2026 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20260821121421
FACILITY NAME:SAVANT OF SANTA MONICAFACILITY NUMBER:
198320378
ADMINISTRATOR:JOE SALDANAFACILITY TYPE:
740
ADDRESS:1447 17TH STREETTELEPHONE:
(310) 829-5904
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:174CENSUS: 125DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
10:22 AM
MET WITH:Hannah MousaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff did not ensure resident's room was free of pests.
INVESTIGATION FINDINGS:
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On 08/26/26 at 10:30 am Licensing Program Analyst (LPA) Villegas conducted an initialcomplaint visit regarding the allegation above. LPA met with Resident Services Director Hannah Mousa as the purpose of today’s visit was explained.

The investigation consisted of the following: On 08/26/26 LPA Villegas obtained copies of the staff and resident rosters, facility cleaning schedule, Orkin pest control reports, Extermination pest control Inc. reports, and copies of the following documents for Resident #1-2 (R1-R2): Emergency ID forms, pre-appraisals, Physicians reports, needs and service plans, medication lists, and copies of any facility notes. On 08/26/26 from 10:40 am- 12:30 pm LPA conducted Interviews with residents #1-10 (R1-R10), from 1pm - 2pm LPA conducted interviews with staff #1-6 (S1-S6).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 11-AS-20260821121421
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: SAVANT OF SANTA MONICA
FACILITY NUMBER: 198320378
VISIT DATE: 08/26/2026
NARRATIVE
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On 08/26/26 LPA conducted a review of Orkin pest control reports, Extermination pest control Inc. reports, and conducted a tour the facility.

The investigation revealed the following:
allegation: Staff did not ensure resident's room was free of pests.
it is alleged that for the past several weeks there has been a rat problem at the facility. On 08/26/26 from 10:40 am- 12:30 pm LPA conducted Interviews with R1-R10 regarding the allegation above, 5 of the 10 residents denied the allegation above, 4 of the 10 residents confirmed the allegation above and reported seeing mice inside the facility, 1 of the 10 residents reported seeing a mouse in the outside patio. 2 of the 10 residents stated that they have reported pest to the staff, 3 of the residents stated they did not report the pest to the staff, 4 of the 10 residents stated that they have not had anything to report. Additionally, 8 of the 10 residents reported that the facility does have pest control come out to the facility however 2 of the 8 residents stated they do not believe that pest control services have been effective. 1 of 10 residents reported that they have not observed pest control services at the facility, 1 of the 10 residents stated they are unaware of pest control visits the facility. On 08/26/26 from 1pm - 2pm LPA conducted interviews with S1-S6 regarding the allegation above. 4 of the 6 staff confirmed the allegation above and stated that residents have reported pest in their bedrooms and the front desk and the maintenance department is made aware. 2 of the 6 staff denied the allegation above. per 6 of 6 staff resident bedrooms are cleaned once a week but trash is taking out everyday. 5 of 6 staff interviewed confirmed that the facility has pest control services come out regularly. 1 of the 6 staff stated that they are unaware if the facility has a pest control services. LPA conducted a review of the last Orkin pest control report dated: 07/16/26. Per report, liquid residual treatment was placed along the interior perimeter of the property, including the foundation, the doorways and interior perimeter of the units. The units that were treated were: 43, 33, 51,71, 73, and 21 upon request. No pest activity was noted in unit 21. Per Extermination pest control Inc. report dated: 07/21/26, Service for roaches conducted in units 32,39, and 73, service for roaches completed on perimeter behind appliances and the bathrooms. LPA conducted tour of facility and inspected bedrooms 25, 28, and 31, LPA observed bedrooms to be cluttered and to have food in open bags and containers on furniture. LPA did not observe any pest activity at the time of visit.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2