197608401-7-12-2022-28-AS-RORN-CJ9MVV-20220914095721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 07/12/2022
Date Signed: 07/12/2022 02:20:04 PM

Unsubstantiated

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
07/07/2022 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220707144303

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:	07/12/2022
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Peter Babaian - Administrator		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Staff did not keep resident's bathroom clean & sanitary
Staff is retaliating against resident for complaining

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced complaint visit to determine the validity of the above-mentioned allegations. LPA met with Administrator Peter Babaian and explained the reason for the visit.

The investigation consisted of the following: LPA obtained a copy of the residents and staff rosters, conducted a tour of the facility and interviewed the Administrator, Staff 1 - Staff 3 (S1 - S3) and Resident 1 - Resident 6 (R1 - R6).

The investigaion revealed the following: regarding the allegation "staff did not keep resident's bathroom clean & sanitary", it is alleged that S2 refused to clean smeared feces in a private bathroom inside a shared resident bedroom. Other staff were asked to do it, but also refused. The administrator and staff interviewed denied the allegation and stated that none of the staff have denied to clean any bathroom.
(CONTINUED TO LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stefanie Coronel
LICENSING EVALUATOR NAME: Luis Mora
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

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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Control Number 28-AS-20220707144303

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: VICTOR ROYALE, LLC	FACILITY NUMBER: 197608401
	VISIT DATE: 07/12/2022

NARRATIVE

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The administrator and staff also stated that S2 is physically attacked by one of the residents in that shared bedroom whenever S2 attempts to go inside to clean. S2 has to wait until the resident leaves the room in order for her to rush in there and clean. The smeared feces in the bathroom was cleaned on 07/08/22 because the resident went on an outing and S2 took this opportunity to finally clean the bathroom and also the bedroom. Interview conducted with the roommate revealed that S2 is physically attacked and the other resident does not allow the staff to do their job and clean their room or bathroom. Interviews conducted with other residents revealed that S2 does a good job in cleaning their rooms and bathrooms and has never refused to do so. LPA toured the facility and observed that the bathroom in question is clean. LPA also observed S2 and other staff cleaning other bedrooms and bathroom.

Regarding the allegation "staff is retaliating against resident for complaining ", it is alleged that S2 was the one that smeared the feces in the bathroom because S2 is angry at the resident for complaining. The administrator and staff interviewed denied this allegation and stated they don't know who smeared the feces. Interview conducted with the roommate revealed that S2 was not the one that smeared feces in their bathroom. The smeared feces was accidentally done by the roommate. The roommate did not notified the staff when it happened because the staff would have noticed when they do their routine cleaning, but the feces lasted there for about 3 days because the other resident in that bedroom was not allowing S2 or any of the staff to go in the room or bathroom to do their routine cleaning. The other resident physically attacks the staff when they enter to clean.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted and copy of this report was provided.

SUPERVISORS NAME: Stefanie Coronel
LICENSING EVALUATOR NAME: Luis Mora
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC9099 (FAS) - (06/04)

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