197608401-3-25-2025-31-AS-TAGD-DG7NZ9-20250429105358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 03/25/2025
Date Signed: 03/25/2025 02:12:52 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.ASC, 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
03/21/2025 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20250321150140

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: 54	DATE:	03/25/2025
		UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Peter Babaian - Administrator		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff mismanaged resident's medication

Staff is handling resident roughly

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with Administrator Peter Babaian and explained the reason for the visit.

LPA conducted physical plant tour at 10:05 AM, requested copy of facility documents relevant to the investigation at 10:33 AM, interviewed staff and residents between 10:45 AM to 1:00 PM and reviewed records between 1:00 PM to 1:45 PM. Regarding the allegation that Staff is handling resident roughly, it was alleged that Resident #1 (R1)'s leg and arms are being pulled by Staff #1 (S1). LPA's interview with R1 today at 11:30 AM revealed that no staff had touched or hurt R1 and staff take good care of R1. LPA's interview with S1 today at 10:45 AM revealed that S1 was not assigned to R1 and denied touching R1. Further interview revealed that S1 was accused by R1 of stealing R1's stuff about a year ago and had since avoided R1 and only assist R1 when necessary but not on regular basis. (continued to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025

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-20250321150140

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VICTOR ROYALE, LLC	FACILITY NUMBER: 197608401
	VISIT DATE: 03/25/2025

NARRATIVE

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(continued from LIC 9099)

LPA's interview with five (5) residents or 10% of the facility’s current census revealed that five (5) out of five (5) residents interviewed did not experience nor witness any staff roughly handling anyone at the facility.

Regarding the allegation that Staff mismanaged resident's medication, it was alleged that R1 was over medicated due to R1's medical condition during admission at the hospital. LPA's record review today between 1:00 PM to 1:45 PM revealed that R1 was only given medication as prescribed prior to and after R1's hospitalization. Further review also revealed that the facility had self-reported that R1 was already lethargic the day prior to hospitalization on 02/08/25 but refused to go to the hospital and only agreed to go only on the morning of 02/08/25. LPA's interview with medication staff (LVN) today at 12:00 PM revealed that R1 is medication compliant and they always check with R1's physician whenever there are changes on R1's condition.

Based on the information gathered during this visit, these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025

LIC9099 (FAS) - (06/04)

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