198320378-8-26-2026-11-AS-PMAA-DXGUZB-20260831160115

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320378
Report Date: 08/26/2026
Date Signed: 08/26/2026 02:46:53 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-20260821112736

FACILITY NAME:	SAVANT OF SANTA MONICA		FACILITY NUMBER:	198320378
ADMINISTRATOR:	JOE SALDANA		FACILITY TYPE:	740
ADDRESS:	1447 17TH STREET		TELEPHONE:	(310) 829-5904
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90404
CAPACITY:	174	CENSUS: 125	DATE:	08/26/2026
		UNANNOUNCED	TIME BEGAN:	10:22 AM
MET WITH:	Hannah Mousa		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff are not ensuring resident attends medical appointments.

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 transportation request form, 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 resident #1-10 (R1-R10), and at 1pm- 2pm LPA conducted interviews with staff #1-5 (S1-S5). LPA conducted a review of R1's file.

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)

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Control Number 11-AS-20260821112736

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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The allegation consisted of the following:

Allegation: Staff are not ensuring resident attends medical appointments
It is alleged that resident in care has not shown up to their last 3 medical appointments. On 08/26/26 from 10:40 am- 12:30 pm LPA conducted Interviews with R1-R10 regarding the allegation above. 7 of the 10 residents denied the allegation above and reported they do not refuse to attend scheduled medical appointments, 2 of the 10 residents reported having no knowledge of the allegation as they do not have scheduled medical appointments to attend, 1 of the 10 residents confirmed the allegation above and reported they have not attended their medical appointments because they do not like the treatment and believe they do not need it. Additionally, 1 of the 10 residents reports it is their right to decide if they want to go or not. 8 of the 10 residents interviewed reported receiving medical services outside of the facility, 2 of the 10 residents reported they do not receive services outside of the facility. 6 of the 10 residents reported having their own transportation service such as Access, 2 of the 10 residents reported that they facility provides transportation to medical appointments, 2 of the 10 residents reported they do not require transportation. On 08/26/26 from 1pm- 2pm LPA conducted interviews with S1-S5 regarding the allegation. 5 of the 5 staff interviewed denied the allegation above and stated that residents are reminded the day before and the day of of the upcoming appointment. Additionally, staff report that the facility provides transportation to residents that request it at the front desk. On 08/26/26 LPA conducted a review of R1's file, R1 if self responsible.

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)

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