197608401-7-1-2026-31-AS-NGID-DYZLC2-20261019083736

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 07/01/2026
Date Signed: 07/01/2026 01:00:30 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
06/16/2026 and conducted by Evaluator Huma Rahimi

COMPLAINT CONTROL NUMBER: 31-AS-20260616081917

FACILITY NAME:	VICTOR ROYALE, LLC		FACILITY NUMBER:	197608401
ADMINISTRATOR:	VERONICA BEHAR		FACILITY TYPE:	740
ADDRESS:	120 E. LAUREL STREET		TELEPHONE:	(818) 243-7442
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	60	CENSUS: 50	DATE:	07/01/2026
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Alise Nazarian, Administrator		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Due to lack of supervision, resident eloped.

INVESTIGATION FINDINGS:

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At 10:10 a.m., Licensing Program Analyst (LPA) Huma Rahimi conducted a subsequent complaint visit to investigate the above-stated allegation. LPA met with the Administrator and explained the reason for the visit.

An initial complaint visit was conducted on 06/22/2026 by LPA Gina Saucedo. LPA Saucedo conducted interviews with the Administrator and Administrator Assistant, Amy Smbatuni. During today's visit, At 10:20 AM, LPA requested resident and staff roster. At 10:25 AM, LPA requested copies of pertinent information which include, but not limited to Physician report, Admission Agreement, Appraisal Needs and Services Plan, relevant to the investigation. At approximately 10:35 AM, LPA conducted a physical plant tour. Between 10:40 AM – 12:30 PM, LPA conducted interviews with two (2) staff and eight (8) residents.

Continue on LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026

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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Control Number 31-AS-20260616081917

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: 07/01/2026

NARRATIVE

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Allegation: Due to lack of supervision, resident eloped.
To investigate this allegation, on 06/22/2026, LPA Saucedo interviewed the Administrator and Assistant Administrator. During today's visit, LPA Rahimi interviewed two (2) staff members and eight (8) residents, including R1. Additionally, LPA Rahimi reviewed facility records, including R1's Physician's Report, Medical Assessment, facility internal notes, and the Special Incident Report (SIR).

During LPA Rahimi's file review, the Medical Assessment determined that R1 is ambulatory, does not have dementia or mild cognitive impairment, has no history of elopement or wandering, and is able to leave the facility unassisted. LPA Rahimi interviewed two (2) staff members who confirmed that R1 is not new to the facility, is alert and oriented, and is able to ambulate independently. During LPA Rahimi's interview with Staff #1 (S1), S1 stated that staff conduct routine resident welfare checks and that the caregiver who discovered R1 missing immediately notified the Assistant Administrator, who then contacted the Glendale Police Department. The Assistant Administrator further confirmed that on 06/16/2026, Lynwood Hospital notified the facility that R1 had been hospitalized following a fall and would contact the facility upon R1's discharge to coordinate transportation. R1 was discharged from the hospital and returned to the facility on 06/18/2026.

LPA Rahimi also reviewed the Special Incident Report (SIR) submitted to the Community Care Licensing Division regarding R1's absence and subsequent hospitalization. Additionally, LPA Rahimi interviewed R1 and seven (7) other residents. R1 and the seven (7) residents stated they do not require supervision and are permitted to leave the facility unassisted.

Based on interviews and records reviewed, there is insufficient evidence to support that R1's departure was the result of inadequate supervision. Therefore, the allegation is Unsubstantiated.

An exit interview was conducted. No citations were issued regarding the above allegation, and a copy of this report was provided to the Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026

LIC9099 (FAS) - (06/04)

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