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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609666
Report Date: 03/10/2023
Date Signed: 03/10/2023 11:01:15 AM


Document Has Been Signed on 03/10/2023 11:01 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:ROYALTY ASSISTED LIVING IIFACILITY NUMBER:
197609666
ADMINISTRATOR:AVETIAN, LIDUSHFACILITY TYPE:
740
ADDRESS:17326 LOS ALIMOS STTELEPHONE:
(818) 436-9088
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 0DATE:
03/10/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:TIME COMPLETED:
10:10 AM
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On 3/10/2023, at 9:30 a.m., Licensing Program Analyst (LPA) and Licensing Program Manager (LPM) Nichelle Gillyard arrived at the facility to conduct an visit. The purpose of this visit was to ensure that the facility is closed and there are no residents who require care and supervision residing at the facility.

Upon arrival, LPA and LPM observed the property to gated and locked. LPA did not observe any cars on the property. The property appeared to be vacant. LPA and LPM attempted to enter the property but were unable to do so.

LPA and LPM spoke to a neighbor located at 17332 Los Alimos, and the neighbor stated that they had not seen anyone, residents included residing in the property since the summer time of 2022. They concluded with saying that they believe all residents had been moved out and operation had ceased.

No further information provided. Woodland Hills Regional Office will be closing the facility.
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa RuizTELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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