197608401-3-13-2024-31-AS-NMAN-DF4UGF-20250325153415

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 03/13/2024
Date Signed: 03/13/2024 01:59:27 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
03/05/2024 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20240305113301

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: 53	DATE:	03/13/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Peter Babaian, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff physically abused resident while in care

Staff did not treat resident with dignity and respect

Due to lack of supervision resident wandered away from facility.

INVESTIGATION FINDINGS:

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Licensing Program Anaylsts (LPAs) Rosaura Valenzuela and Leizl De La Cera conducted an unannounced visit for the above noted allegations. LPAs met with Administrator Peter Babaian and explained the reason for the visit.

It was reported that staff physically abused resident while in care. It was alleged that Resident #1 (R1) was hit by unidentifed facility staff. To investigate this allegation on 3/13/2024, between 10:45am and 11:15am, staff interviews were initiated. Interviews revealed that R1 is not physcially abused by staff. In addition, R1 never reported to the Administrator that facility staff were hitting them. LPA could not interview R1 because they were out of the community. Between 11:30pm and 12:00pm, LPA reviewed facility records. Records revealed that R1 has a history of self-harming behavior.

Based on interviews and records review there is not sufficient information to verify this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

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-20240305113301

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: 03/13/2024

NARRATIVE

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It was alleged that staff did not treat resident with dignity and respect. It was reported that R1 was harassed by unidentified facility staff. Between 10:45am and 11:15am, staff interviews were initiated. Interviews revealed that R1 is not harassed by staff. All residents are treated with dignity and respect. Furthermore, R1 never reported to the Administrator that facility staff were harassing them. LPA could not interview R1 because they were out of the community. Between 11:30pm and 12:00pm, LPA reviewed facility records. Records revealed that R1 has a history of multiple psychiatric hospitalizations.

Based on interviews and records review, there is not sufficient information to support this allegation. Thus, the allegation is UNSUBSTANTIATED at this time.

It was reported that due to lack of supervision resident wandered away from facility. Between 10:45am and 11:15am, staff interviews were initiated. Interviews revealed that facility is not a locked facility. Residents are free to come and go as they please. Moreover, on 2/19/24, R1 left the facility and did not use the sign out book. After 24 hours had passed, the facility contacted the Glendale Police Department and filed a missing person's report. R1 returned to the facility on 3/04/24. Between 11:30pm and 12:00pm, LPA reviewed facility records. Records confirmed what staff had told LPA.

Based on interviews and records review, there is not sufficient information to verify this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.

No health and safety issues noted at the time of this visit.

Exit interview conducted and a copy of the report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

LIC9099 (FAS) - (06/04)

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