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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 07/01/2024
Date Signed: 07/01/2024 12:53:34 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
06/21/2024 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20240621085112
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:
07/01/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Peter BabaianTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Staff are not providing comfortable temperatures for residents
Staff did not ensure the porch had hand railings
Staff did not ensure doorhandle was not in disrepair resulting in injury
INVESTIGATION FINDINGS:
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On 07/01/24, at 9:35am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Peter Babaian. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 06/27/24, Licensing Program Analyst (LPA) Tuesday Cabiness initiated the complaint investigation. On 07/01/24, LPA Saucedo asked for the census, staff, and resident roster. On 07/01/24, at 10:15 LPA Saucedo conducted a physical tour and interviewed residents and staff.

LIC 9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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-20240621085112
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: 07/01/2024
NARRATIVE
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Regarding the allegation: Staff are not providing comfortable temperatures for residents. It is being alleged that the new cottage/building has air conditioning but the old cottage/building does not have air conditioning except for the living room area. Five (5) out of five (5) residents confirmed that the old cottage/building does not have air conditioning but the living room does have air conditioning. Four (4) out of five (5) residents confirmed that the temperatures are comfortable for them. Three (3) out of three (3) staff confirmed that the old cottage/building does not have air conditioning but the living room does have air conditioning including some residents have their own portable air conditioner. During LPA's physical tour, LPA entered several rooms in the old cottage/building and several residents had their individualized, portable air conditioner and/or fan. In addition, LPA observed the temperature throughout the cottage/building hallways to be within Title 22 regulations. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not ensure the porch had hand railings. It is being alleged that the new cottage does not have hand railings which is a hazard. Four (4) out of five (5) residents confirmed that the hand railings which is located in the new cottage/building does not have hand railings but it does not affect them due to them being ambulatory. Three (3) out of three (3) staff confirmed that the new cottage/building does not have hand railing but does have a ramp located in the back. During LPA's physical tour, LPA observed that the new cottage/building does not have any hand railings and it does not possess a hazard due to all residents being ambulatory including the residents that reside in that cottage. The new cottage/building also has a ramp located in the back. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not ensure doorhandle was not in disrepair resulting in injury. It is being alleged that the doorhandle is in disrepair injuring one (1) of the residents. Four (4) out of five (5) residents confirmed that the doorhandle which is located in the main building is not in disrepair and has not caused any injuries to anybody. Three (3) out of three (3) staff confirmed that the doorhandle which is in the main building is not in disrepair. During LPA's physical tour, LPA observed that the doorhandle in the main building was not in disrepair. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.

SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
LIC9099 (FAS) - (06/04)
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