198603597-9-18-2026-28-AS-DSIS-DYLVBB-20261006161716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603597
Report Date: 09/18/2026
Date Signed: 09/18/2026 10:32:50 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
09/01/2026 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260901083342

FACILITY NAME:	SAVANT OF ALHAMBRA		FACILITY NUMBER:	198603597
ADMINISTRATOR:	MADELEINE SIEVERT		FACILITY TYPE:	740
ADDRESS:	1 E COMMONWEALTH AVE		TELEPHONE:	(626) 289-3871
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	176	CENSUS: 173	DATE:	09/18/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Ruby Andrade – Interim Executive Director		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff left resident soiled for an extended period of time
Staff did not ensure resident ate
Staff are not checking on resident in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Ruby Andrade and explained the purpose of the visit.

The investigation consisted of:
During initial visit dated 9/4/26 LPA obtained copies of Staff/Resident Rosters, Food Menu, Caregiver-Job Description, List of Residents on Tray Service, LPA conducted interviews with 4 Staff (S1-S4) and 9 Residents R1-R9).

During todays visit LPA toured facility and inspected incontinence care supply, food supply, and interviewed 3 Residents R10-R12)

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

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 28-AS-20260901083342

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SAVANT OF ALHAMBRA	FACILITY NUMBER: 198603597
	VISIT DATE: 09/18/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff left resident soiled for an extended period of time

It is alleged that it is alleged that R1 is left with soiled diaper from the morning until at night, with only providing one change in the morning and one at night. LPA interviewed 4 Staff and each denied the allegation and stated that they do not leave residents soiled for extended periods of time. Staff stated that they conduct rounds every two hours and during shift changes to ensure residents needs are met and if any changes are needed they will do them during their rounds. LPA interviewed 12 Residents and each denied the allegation and stated they are not left soiled and have not witnessed another resident left soiled for extended periods of time. During tour and interviews LPA observed caregivers doing incontinence care and changes throughout the facility. LPA observed the storage room that holds incontinence care items and there appeared to be a sufficient supply of diapers and incontinence care items.

Allegation: Staff did not ensure resident ate

It is alleged that staff do not ensure R1 is fed appropriately and if asleep at mealtime they are forced to wait until the next mealtime. LPA interviewed 4 Staff and each denied the allegation and stated that residents are adequately fed. Interviews with S2-S4 revealed that if a resident is asleep they will try to wake them up to eat, if they don’t wake up staff will warm up their food for them when they are hungry or a new warm tray will be offered to them. LPA was provided with a food menu and the meals appeared to have plenty of options for Breakfast, Lunch and Dinner. LPA toured kitchen and the food supply appeared to be sufficient for the residents in care. LPA interviewed 12 Residents and each denied the allegation and stated that they are provided with sufficient food for each meal, 5 of the residents interviewed are on tray service and stated that if they do not eat the staff offer an alternate meal or to warm up their food for them.

(Continued on LIC9099-C)

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260901083342

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SAVANT OF ALHAMBRA	FACILITY NUMBER: 198603597
	VISIT DATE: 09/18/2026

NARRATIVE

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Allegation: Staff are not checking on resident in a timely manner
It is alleged that staff do not do their regular checks on residents and only check on residents hourly. LPA interviewed 4 Staff and each denied the allegation and stated that although they conduct rounds every 2 hours, they are in and out of the rooms frequently to meet their needs, each room is equipped with call buttons and if at any point a resident needs assistance they can use that to get a caregiver to them promptly. LPA interviewed 12 Residents and each denied the allegation and stated that the staff checks on them regularly both in the day time and night time hours, although the residents could not confirm if they are checked on every 1-2 hours they stated that they feel its sufficient to their needs and can use their call buttons for assistance if needed.

Based on LPAs observations, interviews which were conducted and review of client files/facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

LIC9099 (FAS) - (06/04)

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