Skip to main content

Inspection visit

complaint

SAVANT OF BURBANK EASTLicense 1986031361 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

(continued from LIC 9099) On 02/03/23 at around 9:13 AM, LPA conducted a case management to follow up on the above stated incident. LPA obtained copies of the facility records relevant to the investigation and interviewed staff and residents and conducted a thorough physical plant inspection. During the course of the investigation, Investigator Doulglas interviewed the administrator and obtained records from Burbank Police Department (BPD), Hospital and County Medical Examiner. LPA’s interview with staff on 02/03/23 at around 12:30 PM revealed that only the maintenance staff has access to the third floor leading to the roof as it was off limits to residents and other staff and was always locked. Further interview revealed that staff were working on the roof to fix a leak but must have left the door unlocked giving R1 access. LPA’s interview with another two (2) staff also revealed that after the incident happened, police came, and these two (2) staff escorted the police to the rooftop and observed that the door leading to the rooftop was unlocked. The police were immediately able to enter and found the portable oxygen machine of R1 on the rooftop. Investigator Douglas review of the information obtained from BPD revealed that the incident was ruled out as suicide by jumping off the roof of the facility. Based on the information gathered during the course of the investigation, the allegation is deemed substantiated at this time. Citation issued, appeal rights discussed and given. Exit interview conducted. Copy of this report issued. (continued from LIC 9099-A) Executive Director Nirjara Acharyan talked to R1 and obtained R1's approval for the withdrawal for January 2023's rent which R1 consented on 02/10/23. On 02/14/23 however, the staff received a notice from R1's bank that R1's account was closed and was not able to withdraw the rent money for January 2023. R1 subsequently agreed to a payment plan for R1 to pay an extra amount aside from R1's regular rent to cover for the missed January 2023 rent until fully paid. Regarding the allegation that Staff failed to prevent a resident from being harmed by another resident, it was alleged that on an unknown date a resident beat up another resident. LPA's interview with the administrator today between 12:30 PM to 1:45 PM revealed that there was an aggressive resident used to live at the facility but was discharged since April of this year due to the resident's attitude and aggression toward other residents. Further review also revealed that the facility always reports any incident pertaining to this resident who was given several warning letters, eviction notices and eventually was sent to hospital for 51/50 hold and never got back to the facility. Regarding the allegation that Staff failed to provide a safe and comfortable environment for residents, it was alleged that R1 was being harassed by two (2) staff and two (2) residents, R1 was urged by these two staff members and two residents to commit suicide. LPA's interview with staff today between 12:30 PM to 1:45 PM revealed that the two (2) staff mentioned by the reporting party (RP) denied any altercation or any misunderstanding with R1 and LPA's interview with Resident #3 (R3) who was mentioned by the RP revealed that R1 did not have depression nor any suicidal ideation during their conversation. Further, R3 denied harassing or mistreating R1 nor witnessed anyone, staff or resident in any way. LPA's record review and interview with staff also revealed the second resident mentioned by RP was non-existent as there was no one by that name used to live in the facility. Based on the information gathered during this and prior visit, the allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87468.1(a)(2)Type A

    To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Licensee did not ensure that the roof top was locked and inacessible to resident resulting to resident jumping off the rooftop of the building resulting to hospitalization and eventual death. This poses an immediate health, safety and personal rights risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 6, 2023 inspection of SAVANT OF BURBANK EAST?

This was a complaint inspection of SAVANT OF BURBANK EAST on December 6, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SAVANT OF BURBANK EAST on December 6, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.