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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 05/18/2026
Date Signed: 05/18/2026 01:11:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/14/2026 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260514115940
FACILITY NAME:VICTOR ROYALE, LLCFACILITY NUMBER:
197608401
ADMINISTRATOR:VERONICA BEHARFACILITY TYPE:
740
ADDRESS:120 E. LAUREL STREETTELEPHONE:
(818) 243-7442
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:60CENSUS: 51DATE:
05/18/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Alise Nazarian, AdministratorTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Facility staff did not safeguard resident's personal belongings
INVESTIGATION FINDINGS:
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On 05/18/26, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Alise Nazarian, Administrator. LPA explained the purpose of this visit was to gather information and deliver findings for this complaint.

On 05/18/26, LPA Saucedo asked for the census, staff, and resident rosters. On 05/18/26, at 10:20am, LPA Saucedo conducted a physical tour, interviewed both residents and staff.

LIC 9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
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 2
Control Number 31-AS-20260514115940
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VICTOR ROYALE, LLC
FACILITY NUMBER: 197608401
VISIT DATE: 05/18/2026
NARRATIVE
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Regarding the allegation: Facility staff did not safeguard resident's personal belongings. It is being alleged that resident #1 (R1) moved to a new room and during the move, staff threw away some of their belongings-bed sheets (5 sheet sets with their name written on them in permanent marker) and a green clothing. During LPA's review of the video that was taken during the move on 05/13/26, one (1) of the staff found the sheets that had R1's name in permanent marker and they were handed to R1 in the video. Let it be noted, by looking at the video, the sheets were in the corner of the new room and there was other items but no green clothing was shown. LPA interviewed, four (4) of the staff that helped R1 during the move and all staff stated, "R1's sheets were found during the move but they never saw any green clothing only red clothes." One (1) out of the four (4) staff did state that at the beginning of the move R1 was already asking for that green piece of clothing which was already missing." LPA interviewed four (4) residents that confirmed they have never had any of their personal belongings missing and know where to update their new belongings when they are purchased and/or given to them. During LPA's review of R1's LIC 621 form-Client/Resident Property and Valuable, there is one (1) LIC 621 where R1 refuses to update their LIC 621 form and there is another LIC 621 form dated 02/17/2004 signed by R1 where it just lists clothes but does not specify the green clothing. During LPA 's physical tour of R1's room, the sheets with R1's name were on R1's bed, LPA took pictures of the sheets. During LPA's interview with R1, R1 stated, "the sheets were found but not the green clothing which was missing before the move and does not remember when they went missing and they are still searching for it along with other items." LPA asked R1 if they were present during the moving of rooms and R1 stated, "yes." LPA asked have you updated a LIC 621 form and R1 stated, "not yet, I am still working on it" and agreed to make a new LIC 621 form-Client/Resident Property and Valuable and give it to the staff with their signature. Therefore, based on R1's LIC 621, review of the video of R1's moving room and interviews conducted the allegation(s) is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2