197608401-3-2-2022-28-AS-WSHO-CDAMZK-20220408100314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 03/02/2022
Date Signed: 03/02/2022 03:15:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/22/2022 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220222160553

FACILITY NAME:	VICTOR ROYALE, LLC		FACILITY NUMBER:	197608401
ADMINISTRATOR:	PETER BABAIAN		FACILITY TYPE:	740
ADDRESS:	120 E. LAUREL STREET		TELEPHONE:	(818) 243-7442
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	60	CENSUS: 55	DATE:	03/02/2022
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Peter Babaian		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility is not keeping copies of the last 30 days of menus

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Trueman conducted a complaint visit to investigate the allegation listed above. LPA met with Administrator, Peter Babaian and explained the reason for the visit.
The kitchen was toured at 12:45 PM along with Assistant Administrator Alice Mazarian and the menu for 2/27 to 3/5 was posted and a sufficient supply of perishables and non-perishables were observed.
Reception desk was toured and included a binder containing menus.
From 12:30 PM to 1:15 PM Staff S1- S4 were interviewed.
From 1:10 PM to 1:30 PM Resident R 1 was interviewed telephonically.
In regards to the allegation Facility is not keeping copies of the last 30 days of menus,during tour LPA observed a binder containing menus from 1/30 to 3/5.
Staff interviewed stated binder is always kept with 6 weeks of past menus available for review and menu for current week is posted by dining room.
Resident 1 stated that he wants to review past 30 days of menus and if there are 6 weeks in binder that is good moving forward. 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:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Glenn Trueman	TELEPHONE: (323) 981-1652
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022

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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