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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603385
Report Date: 01/05/2026
Date Signed: 01/05/2026 01:34:14 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
12/29/2025 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251229085146
FACILITY NAME:COMMONWEALTH ROYALE GUEST HOMEFACILITY NUMBER:
197603385
ADMINISTRATOR:MAYA MNOYANFACILITY TYPE:
740
ADDRESS:150 S. COMMONWEALTH AVETELEPHONE:
(213) 382-6381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:106CENSUS: 89DATE:
01/05/2026
UNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Administrator Zara PoghosyanTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not ensure the facility is at a comfortable temperature for residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 01/05/2026 regarding the above allegation. During today’s visit LPA Ramirez was greeted by Administrator Zara Poghosyan and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1 - 3 interviews (S1 – S3), Interview with facility general contractor, Resident#1-9 (R1- R9), copy of repair and restoration letter from general contractor, and physical plant tour.

SEE 9099-C for continued report
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 28-AS-20251229085146
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME
FACILITY NUMBER: 197603385
VISIT DATE: 01/05/2026
NARRATIVE
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The investigation revealed the following: regarding the allegation “Staff do not ensure the facility is at a comfortable temperature for residents.” It is alleged staff do not ensure the facility is heated to a comfortable temperature for residents. Five (5) out of the nine (9) residents interviewed corroborated this allegation. Two (2) out of the three (3) staff interviewed corroborated this allegation. Resident interviews revealed that most common areas and resident rooms are not being heated, and residents have to put on extra layers of clothing and blankets to keep warm. Staff interviews revealed that on or around December 20th, 2025, the facility’s thermostat was not properly functioning, and some areas of the facility were not maintaining proper heating. Staff interviews revealed that some residents have complained about their rooms being too cold and needing more blankets to stay warm. Staff interviews revealed the facility has at least twelve (12) extra portable heaters that residents will be provided upon their request. During facility tour, LPA Ramirez common areas and seven (7) resident rooms. LPA Ramirez did not observe thermostats in resident rooms; however, one (1) thermostat located on the 1st floor hallway located near the dining room read 67-degree F at 10am. According to weather forecast for 01/05/2026, it shows a high of 61-degree F daytime and a low of 52 -degree F in the evening. During record review, LPA Ramirez observed a letter from the facility general contractor that indicated the facility was professionally serviced on December 20th, 2025, and all repair and restoration work is currently in progress and is scheduled to be fully completed by January 12, 2026. Phone interview with the facility general contractor revealed that some thermostats in the facility are not functioning properly and some areas of the facility are not reaching desired set temperature, and all facility thermostats will be replaced as a result. During tour of facility, LPA Ramirez observed several residents throughout the facility, layered with clothing and layered with several blankets to keep warm. One (1) out of the seven (7) rooms toured was equipped with a portable heater. Based on interviews, observations and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

One (1) deficiency was issued during this complaint investigation. Exit interview was conducted and a copy of this report, 9099-D and appeals rights was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 28-AS-20251229085146
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME
FACILITY NUMBER: 197603385
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/07/2026
Section Cited
CCR
87303(b)(1)
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(b) A comfortable temperature for residents shall be maintained at all times.
(1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C). This requirement was not met as evidenced by: One of the facility’s thermostats read 67 degree F at 10am and
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Licensee will create and execute a plan to ensure rooms occupied by residents are maintained at a minimum of 68 degree F and email plan to LPA Ramirez by 01/07/2026.
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 5 out of 9 residents interviewed corroborated that the facility does not maintain a comfortable temperature. This poses a potential risk to the health, safety, or personal rights of persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
12/29/2025 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251229085146

FACILITY NAME:COMMONWEALTH ROYALE GUEST HOMEFACILITY NUMBER:
197603385
ADMINISTRATOR:MAYA MNOYANFACILITY TYPE:
740
ADDRESS:150 S. COMMONWEALTH AVETELEPHONE:
(213) 382-6381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:106CENSUS: 89DATE:
01/05/2026
UNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Administrator Zara PoghosyanTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not ensure resident is provided with adequate bedroom furniture.
INVESTIGATION FINDINGS:
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3
4
5
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7
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 01/05/2026 regarding the above allegation. During today’s visit LPA Ramirez was greeted by Administrator Zara Poghosyan and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1 - 3 interviews (S1 – S3), Interview with facility general contractor, Resident#1-9 (R1- R9), copy of repair and restoration letter from general contractor, and physical plant tour.
The investigation revealed the following: regarding the allegation– “Staff do not ensure resident is provided with adequate bedroom furniture.” It is alleged staff do not ensure residents are provided with required bedroom furniture. Nine (9) out of the nine (9) residents interviewed denied this allegation. Three (3) out of the three (3) staff interviewed denied this allegation. LPA Ramirez toured seven (7) resident rooms at random and observed all resident rooms to contain required bedroom furniture. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4