197608401-6-18-2020-31-AS-MVAO-BS7PVH-20200805113911

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 06/18/2020
Date Signed: 06/18/2020 05:07:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/16/2020 and conducted by Evaluator Alexander Pitz

COMPLAINT CONTROL NUMBER: 31-AS-20200616161045

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: 58	DATE:	06/18/2020
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Peter Babaian		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
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5
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7
8
9

Staff not following posted menu.

INVESTIGATION FINDINGS:

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2
3
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5
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9
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13

Licensing Program Analyst (LPA) Pitz initiated a complaint investigation for the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Administrator Peter Babaian

LPA Pitz conducted telephone interviews with the administrator, 7 residents, 3 staff, and a video call which consisted of a review of the facility menus]. The LPA also requested copies of facility menu to be emailed to LPA.
Allegation #1, that "staff not following posted menu" has been unsubstantiated based on interviews. LPA did not receive any corroborating evidence for the allegations, all interviewed except the complainant stated that the facility follows the menu.
A telephonic exit interview was conducted with Administrator, and a hard copy was provided via email for signature.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Alexander Pitz	TELEPHONE: (805) 450-1627
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2020

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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