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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608129
Report Date: 12/23/2025
Date Signed: 12/23/2025 05:12:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
12/15/2025 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20251215145511
FACILITY NAME:RESIDENCES AT ROYAL BELLINGHAM, THEFACILITY NUMBER:
197608129
ADMINISTRATOR:ANGELITO VITUGFACILITY TYPE:
740
ADDRESS:12229 CHANDLER BOULEVARDTELEPHONE:
(818) 980-2997
CITY:VALLEY VILLAGESTATE: CAZIP CODE:
91607
CAPACITY:96CENSUS: 89DATE:
12/23/2025
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Rizaandrea Vitug - Assistant Administrator
Angelito Vitug - Executive Director		TIME COMPLETED:
05:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not complete a personal property inventory for a resident in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegation. The LPA arrived at 9:26AM and met with Assistant Administrator (AA) Rizaandrea “Riza” Vitug. The Executive Director (ED) Angelito “Lito” Vitug arrived at 10:43AM. Long-Term Care Ombudsman Regional Director (LTCORD) Ginger Perini joined the visit at 1:16PM. Entrance interview conducted.

During today’s visit, the LPA and AA conducted a physical plant tour at 9:45AM and no immediate concerns were observed. Between 10AM and 3:44PM, the LPA reviewed and obtained pertinent documents and interviewed five (5) staff, one (1) resident, and the ED. The following was then determined:

Report Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
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 5
Control Number 29-AS-20251215145511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: RESIDENCES AT ROYAL BELLINGHAM, THE
FACILITY NUMBER: 197608129
VISIT DATE: 12/23/2025
NARRATIVE
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Allegation: “Staff did not complete a personal property inventory for a resident in care”

It was reported that the facility did not conduct a personal property inventory for Resident #1 (R1). Interview and record review confirmed an inventory was not completed upon R1’s admission to the facility. The facility has since completed an inventory on 11/25/2025 of R1’s current belongings.

Based on interview and record review, the preponderance of evidence standard has been met, therefore the allegation is deemed SUBSTANTIATED at this time with no deficiency as the facility was cited for this violation on 12/04/2025 and has met their Plan of Correction (POC).

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
12/15/2025 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20251215145511

FACILITY NAME:RESIDENCES AT ROYAL BELLINGHAM, THEFACILITY NUMBER:
197608129
ADMINISTRATOR:ANGELITO VITUGFACILITY TYPE:
740
ADDRESS:12229 CHANDLER BOULEVARDTELEPHONE:
(818) 980-2997
CITY:VALLEY VILLAGESTATE: CAZIP CODE:
91607
CAPACITY:96CENSUS: 89DATE:
12/23/2025
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Rizaandrea Vitug - Assistant Administrator
Angelito Vitug - Executive Director		TIME COMPLETED:
05:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not safeguard resident's personal possessions
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegations. The LPA arrived at 9:26AM and met with Assistant Administrator (AA) Rizaandrea “Riza” Vitug. The Executive Director (ED) Angelito “Lito” Vitug arrived at 10:43AM. Long-Term Care Ombudsman Regional Director (LTCORD) Ginger Perini joined the visit at 1:16PM. Entrance interview conducted.

During today’s visit, the LPA and AA conducted a physical plant tour at 9:45AM and no immediate concerns were observed. Between 9:45AM and 3:44PM, the LPA reviewed and obtained pertinent documents and interviewed five (5) staff, one (1) resident, and the ED. The following was then determined:

Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20251215145511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: RESIDENCES AT ROYAL BELLINGHAM, THE
FACILITY NUMBER: 197608129
VISIT DATE: 12/23/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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32
Allegation: “Staff did not safeguard resident's personal possessions”

It was reported that Resident #1 (R1) had a bag of missing clothes that the facility did not appropriately safeguard. Interview with staff revealed that R1 arrived to the facility with minimal belongings. R1 had reported a bag of clothes missing, however, staff observed their clothes to be stored away in R1’s dresser and closet. Interview with R1 insisted they had two (2) bags of clothing and that one (1) was missing. R1 was unable to specify which clothing items were missing.

Prior to admission to the facility, R1 was at a Skilled Nursing Facility (SNF). Record review of R1’s Inventory of Personal Effects at their SNF and review of current clothing items in their possession were accounted for. Clothing items included eight (8) shirts, five (5) pants, four (4) pairs of socks, and one (1) beanie.

Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5