197608401-11-12-2024-31-AS-NMAN-DC92Q5-20241223163523

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 11/12/2024
Date Signed: 11/12/2024 04:49:42 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
11/04/2024 and conducted by Evaluator Leizl De La Cerra

COMPLAINT CONTROL NUMBER: 31-AS-20241104120214

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:	11/12/2024
		UNANNOUNCED	TIME BEGAN:	10:09 AM
MET WITH:	Peter Babaian, Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Resident’s personal belongings are being stolen at facility.
Staff are not properly addressing pest infestation in facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Leizl de la cerra conducted an unannounced initial complaint visit to this facility to investigate the above allegations. LPA met with administrator, Peter Babaian, and explained the reason for the visit.

Regarding the allegation: Resident’s personal belongings are being stolen at facility.
It was alleged that R1's tupperware with a lid and two (2) cereal bowls were stolen by a staff member. To investigate the allegation, on 11/12/2024, LPA conducted a physical plant tour, reviewed pertinent documents and interviewed three (03) staff members and interviewed six (06) residents between 10:30PM to 2:55PM. LPA's record review today revealed that R1 did not declare the tupperware with lid and two (2) cereal bowls on their signed Client/Resident Personal and Valuables (LIC 621) document. LPA's interview with five (5) residents today also revealed that all five (5) residents did not have any of their personal belongings stolen while living at the facility nor expressed any concerns of any belongings being stolen.
CONTINUE to LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Leizl De La Cerra	TELEPHONE: (818) 454-0632
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024

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-20241104120214

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: 11/12/2024

NARRATIVE

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During interviews with R1, they stated the tupperware with lid and the 2 cereal bowls were not actually stolen but the items were possibly thrown away by a staff member who could be concerned of the food being old or spoiled. R1 also informed LPA that R1 deducted $15.48 from his monthly rental payment of $1,398.07 to cover the expenses R1 incurred. The expenses R1 incurred was for a 2 bowls and a cockroach bug spray.
LPA was provided a copy of R1's payment in a form of a check to the facility, Victor Royale in the amount of $1,382.59, which is $15.48 less. The administrator (S1) informed LPA that there was no objection on their part towards R1 for paying a reduced amount on their rent. LPA interview with three (03) staff members and revealed that two (02) out of three (03) staff members have concerns about some residents leaving open containers with food that could potentially result to having ants and cockroach infestation in the facility. S1 and S3 reveals that LA County Public Health and the pest control company advised facility house keepers that if there are any containers found in any resident's rooms that contains old or spoiled food that the staff has to dispose or discard the container to prevent any pest infestations. Based on observation, interviews and record reviews, there was not enough supporting information to confirm the allegation. Therefore, the allegation deemed unsubstantiated at this time.

Regarding the allegation: Staff are not properly addressing pest infestation in facility.
It was alleged that staff are not properly addressing pest infestation in facility. To investigate the allegation, on 011/12/2024, LPA conducted a physical plant tour, reviewed pertinent documents and interviewed three (03) staff members and interviewed six (06) residents between 10:30PM to 2:45PM. LPA's interview with the administrator, S1 stated that none of the residents have stated of any problems with cockroaches or ants. S1 said that the facility has a contract with a pest control service, and the pest control service comes to the facility twice a month to monitor, inspect and resolve any pest problems. S1 provided LPA a copy of the inspection report from the pest control company for the month of November, 2024 and inspection report does not reveal that there was any infestation. LPA's interview with five (5) residents and all five (5) residents informed LPA that no cockroaches or ants were observed in their bedrooms. All five (5) residents also informed LPA that there were no ants observed in the bathroom. LPA conducted a physical plant tour of the facility and specifically a tour at the bungalow/cottage #1511 that has 5 rooms and one (1) bathroom. LPA did not observe any cockroaches or ants in all five (5) rooms and did not observe any cockroaches or ants in the one (1) bathroom.
Based on observation, interviews and record reviews, there was not enough supporting information to confirm the allegation. Therefore, the allegation deemed unsubstantiated at this time.
No health and safety issues noted at the time of this visit.
Exit interview conducted and a copy of the report was issued to administrator.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Leizl De La Cerra	TELEPHONE: (818) 454-0632
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024

LIC9099 (FAS) - (06/04)

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