197608401-4-11-2022-28-AS-SCOL-CF8NP8-20220609103753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 04/11/2022
Date Signed: 04/11/2022 02:07:30 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
01/04/2022 and conducted by Evaluator Mary G Flores

COMPLAINT CONTROL NUMBER: 28-AS-20220104154426

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: 54	DATE:	04/11/2022
		UNANNOUNCED	TIME BEGAN:	09:41 AM
MET WITH:	Peter Babaian - Administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Resident not allowed telephone calls.

INVESTIGATION FINDINGS:

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Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA Flores met with Peter Barbarian administrator and explained the reason for the visit.

The investigation consisted of the following: On 1/11/22 LPA Flores conducted initial visit and requested copies of resident and staff roster. LPA Flores observed facility's cordless telephone at front desk, pay phone in patio, pay phone at cottage accessible to residents in working condition. LPA interview residents #1(R1), #2(R2), #3(R3), #4(R4), #5(R5). LPA Flores requested copies of facility phone bills for the last 3 months to be email to LPA by end of day. On 4/11/22 LPA Flores requested copies of phone bills for the months of November 2021 - February 2022 and interviewed Staff #1(S1),#2(S2),#3(S3),and#4(S4).

(CONTINUED LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stefanie Coronel	TELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Mary G Flores	TELEPHONE: (323) 981-3965
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2022

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-20220104154426

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: 04/11/2022

NARRATIVE

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The investigation revealed the following: Regarding allegation; Resident not allowed telephone calls. It is alleged resident's friend has called and they won't tell resident. Interviews with residents revealed 2 out of 5 residents have had access to facility's telephone when needed to make phones and have received telephone calls in cordless phone. 2 out of 5 residents stated they have their own cellphones and do not need to use the facility's telephone and 1 out 5 residents stated to not know there is a phone available as resident does not have anyone to call. Interviews with staff revealed 4 out of 4 staff interviewed stated residents take calls on cordless telephone and are allowed to make phone calls at all times. On 1/11/22 LPA toured the facility and observed two pay phones, one located in the patio and one located in the back cottage both with a dial tone and in working condition. LPA observed the cordless phone in the front lobby with a dial tone and being provided to a resident during the tour for a phone call in the patio next to the lobby. Administrator stated that the phone in the front lobby is available for residents to make phone calls and received calls at all times. LPA Flores reviewed the phone bills for the months of November 2021, December 2021, January 2022, and February 2022 which shows different phone lines which are connected to extensions to allow transferring calls to extension 107 for residents calls.

Although the allegations may have happened or are valid, there is not a preponderance of evidence standard to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Peter Babaian Administrator and a copy of this report was provided.

SUPERVISOR'S NAME: Stefanie Coronel	TELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Mary G Flores	TELEPHONE: (323) 981-3965
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2022

LIC9099 (FAS) - (06/04)

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