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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608401
Report Date: 04/02/2024
Date Signed: 04/02/2024 11:05:34 AM


Document Has Been Signed on 04/02/2024 11:05 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA



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:
04/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Peter BabaianTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Galarza conducted an unannounced case management visit for the purpose of obtaining additional documents pertaining to complaint report #: 28-AS-20220510135636 (5/10/22). The purpose of the visit was explained to Assistant Administrator Alise Nazarian. Administrator Peter Babaian arrived towards the end of the visit.

LPA requested staff file documents but was informed by Assistant Administrator that Administration staff in charge of the facility when Administrator is not present do not have access to staff training records.

During today's visit LPA conducted a physical plant tour of the facility and obtained the following records:

  • Staff (S1 & S2) personnel and training records.

No health and safety issues were observed during today's physical plant tour.


Exit interview conducted and a copy of this report was issued to Administrator Peter Babaian.
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi GalarzaTELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:
DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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