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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 07/17/2025
Date Signed: 07/17/2025 03:05:38 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
07/07/2025 and conducted by Evaluator Perchui Khurshudyan
COMPLAINT CONTROL NUMBER: 31-AS-20250707114722
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:
07/17/2025
UNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Peter Babaian - AdministratorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not ensure a menu was written up at least a week in advance.
INVESTIGATION FINDINGS:
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On 7/17/2025, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted an unannounced 10-day complaint visit to the facility to investigate the above allegation. Upon arrival, LPA met with the Administrator Peter Babaian and explained the reason for the visit. Entrance interview conducted.

At 10:00am, LPA requested copies of resident and staff rosters. LPA also requested copies of pertinent information which include, but not limited to Facility Program of Operation, copies of weekly and daily meal menu, and a copy of maintenance invoice for the technical issues facility had experienced between 07/04/25-07/07/25. At approximately 10:20am, LPA conducted a physical plant tour to ensure health and safety of the residents are protected. No immediate health and safety hazards were noted during the visit. Between 11:00am – 12:40pm, LPA conducted interviews with the Administrator, assistant Administrator, three (3) staff/caregivers, and six (6) out of fifty-four (54) residents residing at the facility.

Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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 2
Control Number 31-AS-20250707114722
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: 07/17/2025
NARRATIVE
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Allegation: Staff did not ensure a menu was written up at least a week in advance.

It was reported that the meal menu is not being written up a week in advance by regulations. To investigate the allegation, during today’s visit, LPA interviewed the facility Administrator, assistant Administrator, three (3) staff members, two (2) cooks, and six (6) residents. LPA also reviewed the facility’s weekly and daily menus and observed the current weekly menu posted on the wall next to the dining area.

The administrator, assistant Administrator and staff confirmed that weekly menus are prepared and posted in advance. Menu records reviewed during the visit included current and upcoming weekly menus through August 2nd, consistent with the title 22, 87555 (c )(1), which requires menus to be prepared and posted at least one week in advance. Staff also stated that there was a technical issue and 7/4/25 which prevented them printing the following week’s menu. And due to the holiday, the maintenance crew was available on the following day, which was 7/5/25. The work was completed on 7/7/25 and the menu immediately printed out and posted on the wall. Staff provided the work order for technical issue, LPA observed and confirmed that an immediate action was taken. The interview with two (2) cooks also revealed that due to not having access to the following week’s menu, they made a handwritten menu and posted it on the wall for residents.

Five (5) out of six (6) residents interviewed stated that they are aware of the weekly menu, know where it is posted, and generally know what to expect for meals ahead of time. Residents also stated that even if any resident is bed bound or for any reason cannot go to the dining area, staff provides the menu to resident’s room. LPA observed the weekly menu posted in the dining area in a visible location accessible to residents. One (1) out of six (6) residents (R1) interviewed stated that although staff have a weekly meal menu available and posted on the wall every week, on Sunday 7/6/25 there was no weekly menu posted, but instead staff had handwritten menu posted for 7/6/25 and 7/7/25. R1 also confirmed that on 7/7/25 the proper weekly menu was available and posted on the wall.

Based on observation, interviews, and records review, there is insufficient evidence to support the allegation. Therefore, the complaint is deemed unsubstantiated.

No deficiency cited during today’s visit.

Exit interview conducted, copy of the report delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
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