Inspection Reports for
Savant of Santa Monica

No health or safety concerns were identified during the visit. Documents for residents and staff were reviewed and found to be in order.

The complaint investigation was initiated due to potential health and safety concerns involving Residents 1 through 6. The Licensing Program Analyst collected various resident documents and noted that home health notes for Resident 1 were not available at the time of the visit but were requested to be submitted by 2/13/2026.

During the investigation, Licensing Program Analyst Bernadette Allen reviewed multiple resident records and observed potential health and safety concerns involving Residents 1 through 6. Further review of records and interviews was indicated to determine if immediate health and safety concerns exist and if corrective actions are required.

The complaint alleged that a resident sustained multiple falls due to staff neglect, staff failed to timely order a new oxygen generator, and staff misused the emergency 9-1-1 system. The investigation found no sufficient evidence to substantiate these allegations, concluding them as unsubstantiated.

The investigation found that residents receive appropriate supervision and care, oxygen equipment was properly maintained without delays, and emergency 9-1-1 calls were made according to medical necessity and protocol. The allegations were found to be unsubstantiated based on interviews, record reviews, and policy assessments.

The complaint alleged that staff did not adequately address bed bugs in the facility. The investigation found that residents R1 and R2 experienced bedbugs and were offered relocation for extermination and furniture replacement. Pest control services were documented, including treatment on 01/06/2026. The allegation was unsubstantiated based on the preponderance of evidence standard.

The investigation included interviews with residents and staff, review of pest control records, and facility tour. The facility had taken immediate action by offering relocation to affected residents and conducting bedbug treatments. The allegation was found unsubstantiated due to insufficient evidence to prove the violation.

The visit was triggered by complaint #11-AS-20251209121524. No substantiation status is stated in the report.

The department met with the Administrator and reviewed requested records including staff roster, personnel report, residence and care agreement, and electronic observation chart. An exit interview was conducted and a copy of the report was provided.

The Licensing Program Analyst confirmed that Staff #1 was not present at the facility and had been removed from the roster and Guardian system with an effective date of 11/21/2025. Documentation including staff and resident rosters, personnel file, and police reports were reviewed.

The allegation that staff did not prevent a resident from causing harm to another resident was investigated and found to be unfounded based on interviews and record reviews.

The investigation found the allegation to be unfounded after reviewing records and interviewing staff and witnesses. No incident of harm between residents was confirmed, and the allegation was determined to be false.

The Licensing Program Manager reviewed the facility's 911 call logs from January to October 2025 and discussed the requirement for the facility to submit incident reports for these calls by November 24, 2025. No deficiencies or violations were explicitly cited in the report.

The complaint alleged that facility staff were not allowing residents to reject medical services when a threat was not imminent. The allegation was investigated through interviews, record reviews, and a facility tour. The allegation was found unsubstantiated.

The investigation found no sufficient evidence to support the allegation. Staff and residents interviewed denied the claim, and procedures for handling medical emergencies were being followed. The allegation was unsubstantiated and no deficiencies were cited.

The complaint involved three allegations: staff pushed a resident, staff refused to give resident medication, and staff did not treat resident with respect. Each allegation was investigated through interviews and record reviews. The Licensing Program Analyst did not find sufficient evidence to substantiate any of the allegations, and no deficiencies were cited.

The investigation found insufficient evidence to support any of the allegations. All allegations were unsubstantiated after reviewing incident reports, interviewing staff and residents, and examining relevant records.

The complaint alleged failure to ensure designated substitute coverage. The allegation was found unsubstantiated based on interviews and observations.

The investigation found the allegation unsubstantiated after interviews with staff and residents confirmed that substitute coverage was always present. Infection control protocols were followed and no current COVID cases were observed.

The complaint involved three allegations: staff not ensuring residents are fed, staff allowing smoking while residents are present, and staff allowing a resident to threaten others. All allegations were found unsubstantiated after interviews, observations, and record reviews.

The investigation found no preponderance of evidence to substantiate the allegations. Observations and interviews indicated residents were fed properly, smoking was confined to designated areas, and no resident threats were observed or allowed by staff.

The complaint alleged that staff did not ensure residents' wheelchair accommodations. The allegation was deemed unsubstantiated due to insufficient evidence.

The investigation found no evidence to support the allegation. Interviews with residents and staff denied the allegation, and documentation showed accommodations were made to assist residents with wheelchair transport to showers.

The allegation was that staff did not take proper steps to mitigate the spread of a communicable disease. The allegation was unsubstantiated based on record reviews, observations, and interviews.

The investigation found that staff were in compliance with the facility's Infection Control Plan and COVID-19 prevention protocols. Interviews with staff and residents did not substantiate the allegation, and no deficiencies were cited.

The complaint alleged that staff did not assist a resident with obtaining medical care services. The investigation included interviews with residents and staff, review of medical and care documents, and observation. The allegation was found unsubstantiated due to lack of preponderance of evidence.

The investigation found the allegation to be unsubstantiated. Interviews with residents and staff, as well as document reviews, showed that residents generally receive assistance with medical care services and alternative transportation arrangements are made when needed.

The complaint alleged that staff did not assist a resident with obtaining medical care services. The investigation included interviews with residents and staff, review of resident files and medical documentation, and observation. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The investigation found that the allegation was unsubstantiated. Interviews with residents and staff, as well as document reviews, showed that residents generally receive assistance with medical care services and alternative transportation arrangements are made when needed.

The visit was triggered by a complaint identified as #11-AS-20250429151406. No deficiencies were found, indicating no substantiated violations.

No deficiencies were issued during this inspection. The Licensing Program Analyst interviewed several residents and conducted an exit interview with the Director of Resident Services.

The complaint alleged staff abused a resident physically, emotionally, and financially. Interviews with residents and staff revealed no corroborating evidence. Resident 1 declined to provide specific details and does not allow staff assistance with finances, ADLs, or medication management. The allegation was found unsubstantiated.

The investigation included interviews with residents and staff and a review of documents. The allegation of staff abuse was found to be unsubstantiated due to lack of sufficient evidence.

The complaint alleged that staff did not assist a resident with obtaining medical care services. After interviews with residents and staff, and review of documentation, the allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The investigation found that one out of nine residents stated they were not receiving assistance with medical care services, but the majority of residents and all interviewed staff confirmed that assistance was provided. Documentation and interviews supported that medical care services were being provided, and the allegation was found to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included improper medication dispensing and failure to safeguard residents' personal property. Interviews and record reviews found insufficient evidence to confirm the allegations.

The investigation found no evidence to support the allegations. Staff and residents denied the claims, and records showed medication was administered correctly and missing items were later found and returned. Therefore, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included a resident developing a pressure injury due to lack of repositioning and staff not meeting residents' bathing needs. Interviews and record reviews did not support these allegations.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, review of medical records, and shower logs indicated that the pressure injury was not caused by facility staff and that showers were provided twice a week with documented refusals.

The complaint alleged staff did not respond to a resident's call for assistance. Interviews with 10 staff members indicated timely assistance is generally provided, with wait times ranging from 5-15 minutes due to staffing issues. Interviews with 9 residents showed 1 resident reported not receiving assistance once, while others confirmed assistance was provided, sometimes with delays. Observations confirmed call buttons were operable and assistance was given. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation included interviews with staff and residents, review of records, and facility tour. The allegation was found unsubstantiated as evidence did not prove the violation occurred, though one resident reported a single incident of delayed assistance.

The complaint involved two allegations: improper medication administration and failure to safeguard residents' personal property. Interviews with staff and residents, as well as record reviews, found no substantiation for these allegations. The report states the allegations are unsubstantiated.

The investigation found no evidence to support the allegations. Staff and residents denied the claims, and missing items were later found and returned. The allegations were deemed unsubstantiated due to insufficient evidence.

The complaint alleged facility staff neglect causing multiple resident falls and failure to seek timely medical assistance. After review of incident reports, interviews with staff and residents, and observations, the allegations were found unsubstantiated due to lack of preponderance of evidence.

The investigation found no sufficient evidence to substantiate the allegations. Staff interviews and record reviews indicated that residents were assisted timely and care plans were in place for fall risk residents. The allegations were deemed unsubstantiated and no deficiencies were cited.

The complaint alleged that staff did not respond to a resident's call for assistance. The investigation included interviews with nine staff members and nine residents, document reviews, and facility observations. One resident reported a single occasion of delayed assistance, but overall evidence did not substantiate the allegation.

Based on interviews, document review, and observations, the allegation was found to be unsubstantiated. Most residents and staff confirmed timely assistance when call buttons were used, and call buttons were observed to be operable.

The complaint alleged that staff failed to dispense medications as prescribed and did not assist residents with incontinence care needs timely. After investigation, including interviews with 9 staff and 9 residents, and review of schedules and records, the allegations were found unsubstantiated due to lack of preponderance of evidence.

The investigation included record reviews, staff and resident interviews, and observations. No sufficient evidence was found to substantiate the allegations regarding medication administration or incontinence care. The allegations were determined to be unsubstantiated.

The complaint alleged that staff did not meet the incontinence care plan for resident R1. Interviews with staff and residents, review of records including incident and physician reports, and facility observations did not support the allegation. The preponderance of evidence standard was not met, and the allegation was found to be unsubstantiated.

The investigation found that the allegation was unsubstantiated based on interviews, record reviews, and observations. No deficiencies were cited during the visit.

The complaint alleged that a resident's personal belongings were taken upon her return to the facility. The investigation included interviews with staff and residents, a tour of the facility, and review of relevant records. The allegation was unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegation. Interviews, facility tour, and record reviews did not confirm the missing personal belongings claim, and no deficiencies were cited.

The complaint included allegations that staff did not attend to residents in a timely manner, staff slept while on shift, and staff did not provide reasonable privacy to residents. Interviews with staff and residents, facility tours, and call button tests were conducted. The allegations were found unsubstantiated due to lack of preponderance of evidence.

The investigation found no evidence to substantiate the allegations. Staff generally attended to residents timely, did not sleep on shift, and provided reasonable privacy. Some residents reported issues, but there was insufficient evidence to prove violations occurred.

The complaint alleged improper medication dispensing and failure to safeguard residents' personal property. Interviews with staff and residents, as well as record reviews, found no evidence to substantiate these allegations. The complaint was determined to be unsubstantiated.

The investigation found no evidence to support the allegations. Medication administration records and interviews with staff and residents confirmed proper medication dispensing and safeguarding of personal property. The allegations were deemed unsubstantiated due to insufficient evidence.

The complaint investigation addressed allegations that staff did not dispense medications as prescribed, did not provide comfortable accommodations, did not provide timely medical attention, and did not treat residents with dignity and respect. After multiple visits, interviews, and record reviews, the Department found no preponderance of evidence to substantiate any of the allegations.

The investigation found no evidence to support any of the allegations. Based on record reviews, interviews, and observations, all allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to keep the facility free from pests, failure to provide clothing to residents, and failure to safeguard residents' property and valuables. After interviews, record reviews, and observations, no preponderance of evidence was found to prove the alleged violations.

The investigation found no evidence to support the allegations. Pest control services were documented and residents reported no issues with bed bugs. Staff provided clothing to residents as needed, and residents reported no clothing issues. Laundry practices ensured residents received their clothes back timely.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required documentation, safety measures, and client care standards were met during the inspection.

The complaint included allegations that staff do not respond to residents' calls for assistance timely, mismanage medications, fail to meet hygiene needs, and do not keep the facility clean. After interviews with staff and residents, record reviews, and observations, all allegations were found unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate any of the allegations. Staff and resident interviews, record reviews, and observations indicated that staff respond timely to calls, manage medications properly, meet hygiene needs, and maintain facility cleanliness.

The complaint alleged that a resident did not receive a 60-day notice prior to a rate increase. Interviews with the Business Office Manager, staff, and residents, as well as document reviews, showed that notices are typically provided timely and the resident acknowledged resolution of the issue. The allegation was found to be unsubstantiated.

The investigation included interviews with staff and residents and review of relevant documents. The Licensing Program Analyst found insufficient evidence to support the allegation, and the complaint was determined to be unsubstantiated.

The complaint alleged illegal eviction. The investigation included a review of eviction notices, interviews with the administrator and staff, and document review. The resident refused interview. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation reviewed eviction notices, conducted interviews, and examined documents including a settlement agreement. The allegation of illegal eviction was found to be unsubstantiated due to insufficient evidence to prove the violation occurred.

The complaint alleged that facility staff were not addressing resident disruptive behavior and that residents were getting intoxicated and leaving the facility at night. The investigation found these allegations to be unsubstantiated based on interviews and document reviews.

The investigation included interviews with the administrator, staff, and residents, as well as a review of relevant documents. The Licensing Program Analyst found insufficient evidence to substantiate the allegation that staff were not addressing resident behavior.

The complaint investigation was unsubstantiated. Allegations included staff mismanaging medication, failure to clean rooms, failure to safeguard clothing, and disrepair of AC and bathroom fans. Evidence did not support these claims.

The investigation found all allegations to be unsubstantiated based on interviews, observations, and document reviews. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated. Allegations included staff stealing residents' personal belongings such as perfume, inadequate food portions, staff pulling residents' hair, and inappropriate touching. Interviews with residents and staff, and review of policies and records, found no evidence to support these allegations.

The investigation found no preponderance of evidence to support any of the allegations. Interviews with residents and staff, document reviews, and observations did not substantiate claims of theft, inadequate food, hair pulling, or inappropriate touching. No deficiencies were observed or cited during the visit.

Allegation: Facility unlawfully evicted resident. The allegation was unsubstantiated after review of notices, resident charting, interviews with staff and residents, and examination of discharge and property release documentation.

The investigation reviewed resident files, notices, and interviewed staff and residents. The department found insufficient evidence to substantiate the allegation of unlawful eviction, concluding the allegation is unsubstantiated.

The complaint alleged that a resident who is a fall risk did not receive assistance with a shower for 1.5 months despite asking for assistance. The allegation was unsubstantiated due to lack of evidence.

The investigation found no preponderance of evidence to support the allegation that a fall-risk resident was denied shower assistance for 1.5 months. Staff and resident interviews and document reviews indicated residents generally received shower assistance as scheduled or requested. No deficiencies were cited.

The complaint alleged that on 05/16/2024, staff threatened a resident (R1) with eviction following an argument. The allegation was unsubstantiated after investigation.

The investigation included interviews with staff and residents and a review of records. All interviewed staff and residents denied the allegation. There was insufficient evidence to substantiate the claim, and no deficiencies were cited.

The facility was found to be clean, sanitary, and in good repair with no deficiencies observed. All safety equipment and emergency systems were operational, and resident care areas met regulatory standards.

The complaint investigation addressed four allegations: (1) staff not assisting residents with bathing, (2) staff not assisting residents with toileting, (3) staff not providing accessible toilets, and (4) staff not providing accessible showers. Interviews with residents, staff, and witnesses, as well as observations and records review, found insufficient evidence to support these allegations. The facility acknowledged some progress on accessibility issues. The complaint was unsubstantiated.

Based on interviews, observations, and record reviews, there was insufficient evidence to substantiate the allegations that facility staff failed to assist residents with bathing, toileting, providing accessible toilets, or accessible showers. All allegations were determined to be unsubstantiated.

The complaint investigation was unannounced and initiated on 12/20/2023 based on allegations of staff yelling at residents, inappropriate speech, staff smoking marijuana on premises, and lack of an administrator. The allegations were unsubstantiated after interviews and records review.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews with residents, staff, and the administrator did not corroborate claims of staff yelling, inappropriate speech, marijuana use on premises, or absence of an administrator.

The complaint investigation was unsubstantiated. Allegations included failure to ensure the facility was free from pests and failure to provide adequate food services. Interviews with staff and residents, review of pest control service reports, and review of kitchen staff certifications and menus did not provide sufficient evidence to support the allegations.

The investigation found insufficient evidence to substantiate the allegations regarding pest control and adequacy of food services. The facility was serviced biweekly for pests with no observed activity on service dates, and food handlers were properly certified with nutritionally balanced meals provided.

The complaint investigation addressed four allegations: improper medication management, failure to ensure residents received prescribed medications, untimely response to residents' call buttons, and false advertising of services. After interviews with staff and residents and review of documentation, all allegations were found unsubstantiated due to lack of evidence.

The investigation found no sufficient evidence to support any of the allegations. Staff and residents denied the claims, and documentation and observations showed compliance with medication management, timely response to call buttons, and accurate advertising of services. All allegations were determined to be unsubstantiated.

The complaint was unsubstantiated due to insufficient evidence to prove the alleged violations regarding temperature, vent cleanliness, and laundry appliance disrepair.

The investigation found that the facility maintained a comfortable temperature, vents were clean, and laundry appliances were operational. Staff and most residents denied the allegations, and the evidence did not substantiate the complaints.

The facility was found to be clean, sanitary, and in good repair with adequate storage, safety measures, and supplies. No corrections were needed during this pre-licensing inspection.

The applicant/administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness during a telephone interview.