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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 12/23/2024
Date Signed: 12/23/2024 03:08:02 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
12/19/2024 and conducted by Evaluator Raymond Comer
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20241219161703
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: 54DATE:
12/23/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Peter BabaianTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff do not ensure that menu is available for review by residents-
INVESTIGATION FINDINGS:
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On Monday, 12/23/24, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced 10-Day initial complaint visit regarding the allegation listed above.

At 9:00 am, LPA presented California Department of Social Services Identification badge to facility Administrator, Peter Babaian, and the purpose of the visit was disclosed.

A physical plant tour of the facility was conducted. No health and safety issues were observed.

Allegation: Staff do not ensure that menu is available for review by residents- It was alleged that staff did not ensure menu was made available to residents in care.

[LIC 9099C] Continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
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-20241219161703
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: 12/23/2024
NARRATIVE
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To investigate the allegation, LPA received facility resident roster, and staff roster. At 9:40 am, LPA conducted a review of Resident 1's (R1's) file, and other documents relevant to the investigation.
Between 10:20 am, and 11:10 am, LPA interviewed the Administrator, and Food Service Staff. Between 11:30 am and 12:40 pm, LPA interviewed four (4) Residents, and attempted to contact R1's Responsible Family Member (F1), via cellphone.

LPA interview with Administrator revealed the following: On Saturday, 12/14/24, the facility's internet and printer were offline; as a result, staff were unable to print out the menu for the following week. In the interim, the Administrator, and kitchen staff, spoke to all residents and provided them menu information until the new weekly menu was posted. Administrator states that printer issues were resolved in less than 48 hours, and facility's food menu was printed/posted on Monday morning, 12/16/24.

LPA interview with Staff revealed the following: Administrator informed kitchen staff of printer problems and told staff to communicate food menu information to all residents until further notice.

LPA interview with Residents revealed the following: Residents (R2 through R4) state that facility staff communicated to residents they were temporarily unable to print the weekly menu at the time, and communicated next week's food menu information to residents. Finally, residents state that the new weekly food menu was made available and posted on Monday morning,12/16/24.

Based on observation, interviews, and records review, there is not sufficient information to verify the allegation that staff are negligent in ensuring food menu is available for review by residents. Therefore, this allegation is UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
LIC9099 (FAS) - (06/04)
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