SAVANT OF CULVER CITY

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(2) (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on records reviewed and interviews conducted, the licensee did not ensure that residents are accorded safe, healthful and comfortable accommodation. On 08/12/2025 S1 did not accept R1 who was medically cleared by the hospital. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

The administrator agreed to create a plan to ensure that residents personal rights that safe, healthful and comfortable accommodations are met after hospitalizations. Proof of correction will be submitted to jose.calderon@dss.ca.gov

Deadline recorded: May 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) and (record review), the licensee did not comply with the section cited above in [3] out of [6) persons did not have current First Aide Certificate on file at time of visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/12/2026 Plan of Correction Executive Director Bill Boles ensures that staff have current First Aide certificates on file by POC date 3/12/26. Executive Director will send copy of First Aide certificaes to LPA Sparkle Day by POC date to : Sparkle.day@dss.ca.gov

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2)Obtain a California clearance or a criminal record exemption as required by the Department Based on observation and interview, staff Neyba Padilla was not associated to the facility as the time of unannounced complaint investigation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The facility shall associate staff in Guardian and submit proof of update via email at zina.brown@dss.ca.gov by POC due date.

Deadline recorded: Aug 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(B)(1-2)(f)

Regulation authority

CCR

What the official deficiency says

87224(B) Resources available to assist in identifying alternative housing and care options... 1. Referral services that will aid in finding alternative housing. 2. Case management... help manage individual care and service needs. (f) A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement was not met as evidence by: Based on interviews and record reviews, the Licensee failed to issue a valid eviction notice in compliance with Title 22 Regulations. This violation poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee agrees to submit a Plan of Correction (POC) to the California Community Care Licensing Division (CCLD) by 02/04/25. The licensee will review Title 22 87244 regarding Eviction Procedures and provide a written statement confirming that the review has been completed and will comply with this regulation. The POC should be sent to LPA Dabuet at ernand.dabuet@dss.ca.gov by the specified date.

Deadline recorded: Feb 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(D)

Regulation authority

CCR

What the official deficiency says

87211-(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(D) Any incident which threatens the welfare, safety or health of any resident...abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: Based on interviews and record reviews, the Licensee failed to report incidents involving (R1's) health and safety welfare. This violation poses a potentinal health and safety risk to residents in care.

Official plan of correction

The licensee agrees to submit a Plan of Correction (POC) to the California Community Care Licensing Division (CCLD) by 02/04/25. The licensee will review Title 22 87211 regarding Reporting Requirements and will comply with this regulation. The POC should be sent to LPA Dabuet at ernand.dabuet@dss.ca.gov by the specified date.rovide a written statement confirming that the review has been completed and

Deadline recorded: Feb 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(b)(2)

Regulation authority

CCR

What the official deficiency says

87405(b)(2) Administrator-Qualifications and Duties. (b) The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on interview and record reviews the administrator failed to adhere to Title 22 regulations, resulting to multiple citations. This violation poses a potential health and safety to residents in care.

Official plan of correction

The licensee/administrator will create a plan to ensure that the administrator performs knowledge of and conform to applicable laws, rules and regulations. A written statement from licensee that reviewed 87405 POC will be sent to LPA Dabuet by 02/04/25 at ernand.dabuet@dss.ca.gov

Deadline recorded: Feb 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87217(b)

Regulation authority

CCR

What the official deficiency says

87217(b) Safeguards for Resident Cash, Personal Property, and Valuables. Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff…This requirement was not met as evidenced by: Based on interviews, the administrator did not comply with this section. The facility failed to properly safeguard residents’ personal property because another resident in the facility was stealing their items, which poses a potential health risk to residents in care.

Official plan of correction

The administrator will develop a plan of correction on how to prevent future incidents of theft of resident's property and hold in-service training relating to theft in the facility. The licensee will submit proof of plan of correction and in-service training of staff by POC due date of 3/14/24. Submit proof to LPA Scott’s email at perry.scott@dss.ca.gov

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(3) Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interviews of staff and residents, the licensee failed to ensure a resident's personal rights due to a residents abusive and harassing behavior towards other residents, which poses a potential health risk to residents in care.

Official plan of correction

The administrator will ensure that all residents are accorded dignity in their personal relationships with staff, residents, and other persons. Facility to conduct in-service training on providing supervision appropriately to keep residents safe from abusive behavior from other residents and submit signed log of those who attended and email it to perry.scott@dss.ca.gov by POC due date of 03/14/24.

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all the following personal rights: (2) To be accorded safe, healthful, and comfortable accommodations... This requirement is not met as evidenced by: Based on interviews and records reviewed the facility failed to provide a safe and healthful environment for resident by allowing another resident to hoard food, boxes, and empty bottles in their room, which poses a potential health risk to residents in care.

Official plan of correction

The administrator will have in-service training with staff and housekeeping and develop a plan of action to combat this type of behavior in residents. The administrator will submit proof of plan of correction and in-service training of staff by POC due date of 3/14/24, to LPA at perry.scott@dss.ca.gov .

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: Based on documentation and interviews, the facility had roaches. LPA reviewed pest control invoices and observed that the facility had an ongoing issue with roaches in the month of October 2022 that were being treated by Dewey Pest Control bi-monthly to eradicate and control future infestations, which poses a potential health risk to residents in care.

Official plan of correction

Corrected during visit. Administrator provided invoices for pest control visits dated: October-December of 2022 and recent reports on a bi-monthly schedule for prevention. Administrator shall continue to use the services of a pest control company to ensure the health and safety of the residents and staff.

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care 6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement was not met as evidenced by: Based on interviews and records reviews, the facility staff failed to make accurate records for prescribed medications for (R3). This violation poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee will submit plan informing the department medication training has been peformed with all staff. A written proof of correction must included date, time and particpants names. Correction must be submitted by due date: 03/21/24 to LPA's email: felisa.shirley@dss.ca.gov

Deadline recorded: Mar 7, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observation and interview S#2 did safe and good repair facility, making it accessible to all residents which poses an immediate health, safety, and personal rights risks to persons in care.

Official plan of correction

Licensee will take swift action having a safe and good repair facility, reducing the potential risk to the resident in care. The licensee stated all bathroom will be safe and good repair for residents, staff, and visitors moving forward email david.espana@dss.ca.gov.

Deadline recorded: Nov 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(f)(4)

Regulation authority

CCR

What the official deficiency says

(f)(4) Movable bins when used for storing or transporting solid wastes from the premises shall have tight-fitting covers on the containers; shall be in good repair; and shall be rodent-proof unless stored in a room or screened enclosure. Based on observation and interview S#2 did safe and good repair facility, making it accessible to all residents which poses an immediate health, safety, and personal rights risks to persons in care.

Official plan of correction

Licensee will take swift action having a safe and good repair facility, reducing the potential risk to the resident in care. The licensee stated all bins will be safe and good repair for residents, staff, and visitors moving forward email david.espana@dss.ca.gov.

Deadline recorded: Nov 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(d)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements - (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Based on observation and interview, the licensee failed to report the disrepair AC for (R1's) apartment to CCLD. This citation poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee will adhere to Title 22 Section 87211. Plan of correction is for Licensee to submit a LIC 629 Incident Report POC due: 08/03/23 of the incident associated with (R1).

Deadline recorded: Aug 3, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87465.2 Personal Rights of Resident in all Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment This requirement was not met as evidenced by: Based on observation and interview, failed to provide a safe and comfortable accomodations to (R1) & (R2). This citation poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee will adhere to Title 22 Section 87465. Plan of correction is to submit to review the regulation and a plan to meet a safe, healthful accomodations for (R1-R2). POC will need to be submitted by 08/03/23.

Deadline recorded: Aug 3, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator...The administrator shall have ... other responsibilities and shall be on the premises enough hours to permit adequate attention to the management and administration of the facility as specified in this section... This requirement was not met as evidenced by: Based on observation and interview, the licensee did not have an authorized administrator on file with CCLD. This citation poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee will adhere to Title 22 Section 87405. Plan of correction is for Licensee to submit a designated adminstrator's packet will be submitted by due date documentation for authorized facility administrator by POC due: 06/09/23.

Deadline recorded: Jun 9, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466 - Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental…observation reveals unmet needs. When changes such as..losses or deterioration of mental ability..are observed, the licensee..are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This has not been met as evidenced by: Based on record reviews and interviews conducted, the Licensee failed to ensure that changes to residents are documented and brought to the attention of the resident's physician and the resident's responsible person which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Resident Services Director, Wilfred Guerrero, agreed to create a plan to ensure that changes to residents are brought to the attention of the resident’s responsible persons. Proof of correction will be submitted to LPA by POC due date at Mario.Leon@DSS.CA.GOV.

Deadline recorded: Jun 8, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(5)

Regulation authority

CCR

What the official deficiency says

87411 - Personnel Requirements, General (d)All personnel shall be given on the job training or have related experience in the job assigned to them. This training../..experience shall provide knowledge of..in the following, as appropriate for the job assigned..as evidenced by safe..effective job performance: (5)Knowledge necessary..recognize early signs of illness and the need for professional help. This requirement was not met as evidenced by: Based on record reviews and interviews conducted, the Licensee failed to ensure that staff have the knowledge necessary in order to recognize early signs of R1’s illness and the need for professional help, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Resident Services Director, Wilfred Guerrero, agreed to create a plan to ensure that all staff have the knowledge necessary in order to recognize early signs of illnesses and the need for professional help, including the need to report physical or mental changes in residents. Proof of correction will be submitted to LPA by POC due date at Mario.Leon@DSS.CA.GOV.

Deadline recorded: Jun 8, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(2)

Regulation authority

CCR

What the official deficiency says

87307 (d) (2) Personal Accommodations and Services The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. LPA Bunker observed the first-floor public restrooms and two of the toilets were non-operational. Notice posted on both restrooms doors out of service. This violation poses a potential health risk to residents in care.

Official plan of correction

The licensee needs to repair two of the toilets in the public restroom on the first floor. The public restroom toilets should be in operational condition and in good repair at all times for the safety and well-being of residents, employees, and visitors. By or before the POC due date of 06/07/2023

Deadline recorded: Jun 7, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 (a) Maintenance and Operation The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. On 11/03/2021 AMEN Pest Control indicated initial roach cleanout for units 157, 257, 159, and on 08/05/2021, 09/02/2021, and 10/07/2021, there were flies in the facility kitchen, dining room, and one bathroom. Which poses a potential health, safety, or personal rights risk to residents in care

Official plan of correction

Deficiency corrected prior to today's visit. Incident self-reported by the facility.

Deadline recorded: Nov 9, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(1)(2)(3)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: (c) (1) Once ordered by the physician the medication is given according to the physician's directions. (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by:Medication records were observed. R1 did not receive Pradaxa medications as prescribed by her physician on 12/13/2021-12/15/2021This violation poses an immediate health and safety risk to residents in care.

Official plan of correction

Deficiency corrected prior to today's complaint visit.

Deadline recorded: Oct 6, 2021. A deadline is not proof that correction was completed.