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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 04/22/2024
Date Signed: 04/22/2024 05:19:06 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
04/15/2024 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 31-AS-20240415113140
FACILITY NAME:VICTOR ROYALE, LLCFACILITY NUMBER:
197608401
ADMINISTRATOR:PETER BABAIANFACILITY TYPE:
740
ADDRESS:120 E. LAUREL STREETTELEPHONE:
(818) 243-7442
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:60CENSUS: 55DATE:
04/22/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Peter Babian, AdministratorTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff did not provide adequate supervision, resulting in a resident leaving the facility unsupervised.

Facility did not have adequate staff to meet the needs of the residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with Administrator Peter Babaian and explained the reason for the visit.

It was reported that staff did not provide adequate supervision, resulting in a resident leaving the facility unsupervised. On 4/13/2024, Resident #1 (R1) went AWOL from the facility and checked themselves into a hospital. On 4/22/2024, between 3:30pm and 4:00pm, staff interviews were initiated. Interviews revealed that facility is not locked and that residents can come and go as they please. On 4/13/2024, R1 left the facility without signing out or notifying staff where they were going. Between 4:00pm and 4:30pm, facility records were reviewed. Records confirmed what staff had told LPA.

Based on interviews and records review, there is sufficient information to not support this allegation. Therefore, this allegatio is UNSUBSTATIATED at this time.
Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 31-AS-20240415113140
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: 04/22/2024
NARRATIVE
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It was alleged that facility did not have adequate staff to meet the needs of the residents. To investigate this allegation on 4/22/24, between 3:30pm and 4:00pm, staff interviews were initiated. Interviews revealed that facility does have sufficient staff to provide care and supervision, as well as to met the needs of residents in care. On 4/13/2024, it was reported that there was only one caregiver present at the facility. Staff interviews revealed that there are at least two caregivers present per shift. If staff were changing shift, it was possible that only one staff was present at that moment. Moreover, facility is in the process of hiring more staff. Between 4:00pm and 4:30pm, facility records were reviewed. Records confirmed what staff had told LPA.

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

No health and safety hazards 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: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2