197608129-2-24-2022-29-AS-JAPL-CDUV8C-20220426161232

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608129
Report Date: 02/23/2022
Date Signed: 02/24/2022 09:23:37 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/15/2022 and conducted by Evaluator Teresa Camara

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20220215163455

FACILITY NAME:	RESIDENCES AT ROYAL BELLINGHAM, THE		FACILITY NUMBER:	197608129
ADMINISTRATOR:	LORI MCKAY		FACILITY TYPE:	740
ADDRESS:	12229 CHANDLER BOULEVARD		TELEPHONE:	(818) 980-2997
CITY:	VALLEY VILLAGE	STATE: CA	ZIP CODE:	91607
CAPACITY:	96	CENSUS: 73	DATE:	02/23/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	LIto Vitug		TIME COMPLETED:	04:43 PM

ALLEGATION(S):

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Facility is not allowing resident access to telephone calls

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Teresa Camara arrived unannounced to conduct an initial complaint investigation visit for the above allegation. LPA initially met with Manager Joey Vitug at 2:00 p.m. and later met with Executive Director Angelito Vitug at 4:00 p.m., and explained the reason for the visit.

During today’s visit, LPA conducted a brief physical plant tour at 2:00 p.m. LPA interviewed staff at 2:00 p.m., 2:42 p.m. and 4:00 p.m. LPA interviewed Resident 1 (R1) at 3:05 p.m. Staff and R1 stated R1 does not take calls on the facility phone, R1 has a personal cell phone and prefers to take calls in R1's private room. If callers refuse to leave contact information, R1 cannot return the calls. Based on interviews with staff and R1 it was determined the allegation staff is not allowing R1 to receive telephone calls is unsubstantiated at this time.

No deficiences noted. Exit interview conducted. A copy of the report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Teresa Camara	TELEPHONE: 818-326-4019
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022

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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