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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 07/09/2025
Date Signed: 07/09/2025 03:07:37 PM

Substantiated


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
12/10/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20241210105657
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: 51DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Veronica BeharTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Staff did not treat residents with dignity and respect
INVESTIGATION FINDINGS:
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At approximately 10:45 a.m. on 07/09/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the licensee and disclosed the reason for the visit.

To investigate the allegations above, LPA De la cerra conducted an initial visit on 12/17/25 and interviewed staff and residents between 2:00 p.m. and 3:15 p.m., conducted a records review at 2:30 p.m., and toured the facility around 3:15 p.m. Today, LPA Reed interviewed three (03) staff and seven (07) residents, which was at least 10% of the total number of residents, between 11:00 a.m. and 2:00 p.m. today, conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 11:15 a.m., and toured the facility inside and out at 11:30 a.m.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
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 5
Control Number 31-AS-20241210105657
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: 07/09/2025
NARRATIVE
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Staff did not treat residents with dignity and respect

Regarding the allegation "Staff did not treat residents with dignity and respect" it was alleged S1 yells at residents in a disrespectful manner. Interview with S2 revealed S1 cares for residents but is loud and aggressive. Interviews with Staff #3 (S3) at 12:15 p.m. and Staff #4 (S4) at 12:30 p.m. today revealed they have been treated disrespectfully by S1 and overheard S1 being disrespectful to residents. S3 noted that they reported the issues to the administrator. Record review of S1’s facility file revealed they were given two (02) written warnings for misconduct by the administrator. The first warning was issued on 04/27/22 in which S1 was observed “shouting and verbally abusing” a resident in the shower. The second warning was issued on 02/10/25. The second warning noted that after several warnings, this was to be a final written warning. The warning was issued for “attitude, behavior, and aggressive communications” on 02/07/25 towards a staff and a resident, Resident #2 (R2). Interviews with R2 at 12:40 p.m. and Resident #3 (R3) at 1:10 p.m. today revealed they have both been treated disrespectfully by S1. Based on record review and interviews, multiple residents and staff noted S1’s disrespectful treatment towards residents. The facility is aware of S1’s disrespect and has issued multiple warnings to S1. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is issued on the corresponding LIC 9099-D page.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 31-AS-20241210105657
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2025
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights... (a) Residents in all residential care facilities for the elderly shall... (1) ...be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by:
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Licensee to conduct an in-service training to all staff on the cited section and issue a written notice to Staff #1 (S1)
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Based on interviews and record review, the licensee did not comply with the section cited above by permitting Staff #1 (S1) to be disrespectful towards residents, which posed a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
12/10/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20241210105657

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: 51DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Veronica BeharTIME COMPLETED:
03:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handles residents in rough manner
Staff steal residents belongings
INVESTIGATION FINDINGS:
1
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3
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5
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13
At approximately 10:45 a.m. on 07/09/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the licensee and disclosed the reason for the visit.

To investigate the allegations above, LPA De la cerra conducted an initial visit on 12/17/25 and interviewed staff and residents between 2:00 p.m. and 3:15 p.m., conducted a records review at 2:30 p.m., and toured the facility around 3:15 p.m. Today, LPA Reed interviewed three (03) staff and seven (07) residents, which was at least 10% of the total number of residents, between 11:00 a.m. and 2:00 p.m. today, conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 11:15 a.m., and toured the facility inside and out at 11:30 a.m.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 31-AS-20241210105657
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: 07/09/2025
NARRATIVE
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Staff handles residents in a rough manner

Regarding the allegation "Staff handles residents in a rough manner" it was alleged Staff #1 (S1) handles residents roughly while assisting with incontinence care. It was reported that yelling was heard from residents who S1 assisted with changing. Interview with Staff #2 (S2) at 11:00 a.m. today revealed they have not received any reports from residents or staff of S1 handling residents in a rough manner or heard any yelling. Interviews with two (02) other staff members revealed they have not heard yelling or any reports of rough handling from S1. Interviews with seven (07) out of seven (07) residents, three (03) of whom receive incontinence care form S1, confirmed they have not been handled roughly by S1. LPA Reed did not observe any rough handling during today’s visit. Based on observations and interviews, there is no evidence indicating S1 handles or handled residents roughly. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Staff steal residents belongings

Regarding the allegation "Staff steal residents belongings" it was alleged S1 was seen stealing a resident’s clothes and selling them at a yard sale. Interview with S2 revealed they had not been notified of any theft or staff stealing belongings. Interview with S1 at approximately 1:00 p.m. today revealed they have not stolen any valuables from any residents. S1 noted they have only collected used soda cans for recycling which may have caused someone to think they are stealing. Interviews with Staff #3 (S3) at 12:15 p.m. and Staff #4 (S4) at 12:30 p.m. today revealed they have not witnessed S1 steal resident belongings. Interviews with seven (07) out of seven (07) residents revealed S1 has not stolen anything from them. Based on observations and interviews, there is no evidence to suggest that S1 stole resident belongings. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5