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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610152
Report Date: 08/25/2026
Date Signed: 08/25/2026 03:10:24 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.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
08/19/2026 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20260819115023
FACILITY NAME:PALACE OF JOYFACILITY NUMBER:
197610152
ADMINISTRATOR:GRIGORYAN, MARINEFACILITY TYPE:
740
ADDRESS:6701 KURL WAYTELEPHONE:
(747) 265-6536
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:6CENSUS: 5DATE:
08/25/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marine Grigoryan, AdministratorTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff scream at residents.
INVESTIGATION FINDINGS:
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At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced initial complaint visit to investigate the above stated allegations. LPA met with the Staff #1 (S1) who granted access to the facility. S1 contacted the Administrator and LPA explained the reason for the visit. The Administrator arrived shortly after.
During the course of the investigation, LPA conducted interviews, reviewed pertinent records, and conducted a physical plant tour. At 9:35 AM, LPA requested the resident and staff rosters. At 9:40 AM, LPA requested pertinent records relevant to the investigation, including, but not limited to, Physician's Reports, Appraisal Needs and Services Plans, staff training records, sample menus, and other applicable documentation. At approximately 9:45 AM, LPA conducted a physical plant tour of the facility. Between 9:50 AM and 12:30 PM, LPA conducted interviews with the Administrator, Staff #1 (S1), and four (4) of five (5) residents who were available.
Continue on LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
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-20260819115023
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: PALACE OF JOY
FACILITY NUMBER: 197610152
VISIT DATE: 08/25/2026
NARRATIVE
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Allegation: Staff scream at residents.

It was alleged that facility staff screamed at residents. To investigate this allegation, LPA conducted interviews with the Administrator, Staff #1 (S1), and four (4) out of five (5) residents who were available.

The Administrator and S1 denied ever screaming or yelling at residents in care. The Administrator stated that staff are expected to remain professional and respectful when interacting with residents. Three (3) of the four (4) residents interviewed denied hearing staff scream or yell at residents and denied being screamed or yelled at by staff. One (1) resident reported witnessing a staff member yell at Resident #2 (R2).

During the investigation, LPA directly observed the licensee interacting with Resident #1 (R1). LPA observed the licensee raise their voice and scream at R1. LPA further observed the licensee become visibly agitated and act aggressively toward R1 during the interaction.

Although the Administrator, S1, and three (3) residents denied witnessing or experiencing staff yelling or screaming at residents, one (1) resident provided information consistent with the allegation, and LPA directly observed the licensee scream at R1 during the investigation. Based on LPA's direct observation and the information obtained through interviews, there is sufficient evidence to establish that the alleged conduct occurred. Therefore, the allegation that staff scream at residents is deemed Substantiated.

Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 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.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
08/19/2026 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20260819115023

FACILITY NAME:PALACE OF JOYFACILITY NUMBER:
197610152
ADMINISTRATOR:GRIGORYAN, MARINEFACILITY TYPE:
740
ADDRESS:6701 KURL WAYTELEPHONE:
(747) 265-6536
CITY:RESEDASTATE:CAZIP CODE:
91335
CAPACITY:6CENSUS: 5DATE:
08/25/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marine Grigoryan, AdministratorTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff are not meeting resident's showering needs.
Staff do not provide adequate food service to residents.
INVESTIGATION FINDINGS:
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At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced initial complaint visit to investigate the above stated allegations. LPA met with the Staff #1 (S1) who granted access to the facility. S1 contacted the Administrator and LPA explained the reason for the visit. The Administrator arrived shortly after.
During the course of the investigation, LPA conducted interviews, reviewed pertinent records, and conducted a physical plant tour. At 9:35 AM, LPA requested the resident and staff rosters. At 9:40 AM, LPA requested pertinent records relevant to the investigation, including, but not limited to, Physician's Reports, Appraisal Needs and Services Plans, staff training records, sample menus, and other applicable documentation. At approximately 9:45 AM, LPA conducted a physical plant tour of the facility. Between 9:50 AM and 12:30 PM, LPA conducted interviews with the Administrator, Staff #1 (S1), and four (4) of five (5) residents who were available.
Continue on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
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-20260819115023
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: PALACE OF JOY
FACILITY NUMBER: 197610152
VISIT DATE: 08/25/2026
NARRATIVE
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Allegation: Staff are not meeting resident’s showering needs.

It was alleged that facility staff are not meeting residents' showering needs. To investigate this allegation, LPA conducted interviews with the Administrator, Staff #1 (S1), and four (4) out of five (5) residents who were available.

The Administrator and S1 stated that residents receive showers at least twice a week or as needed and may request additional showers. Both denied refusing or delaying residents' showers. One (1) resident requires assistance with showering and reported receiving regular showers. The resident denied being denied or delayed a shower or witnessing another resident being denied a shower. During the visit, LPA observed the residents to be clean and well-groomed and did not observe any concerns related to residents' showering needs. Based on interviews and LPA's observations, there was insufficient evidence to establish that staff failed to meet residents' showering needs. Therefore, this allegation is deemed Unsubstantiated at this time.


Allegation: Staff do not provide adequate food service to residents.

It was alleged that facility staff do not provide adequate food service to residents. To investigate this allegation, LPA conducted interviews with the Administrator, Staff #1 (S1), and four (4) out of five (5) residents who were available. LPA also conducted a physical observation of the facility's food supplies.

The Administrator and S1 stated that residents are provided meals according to their preferences and dietary needs and that groceries are purchased regularly and as needed. Three (3) out of four (4) residents interviewed reported receiving meals regularly and denied concerns regarding the food service.

During LPA's observation, the facility had approximately two (2) days of perishable food and one (1) week of non-perishable food available.

Based on interviews and LPA's observation, there was insufficient evidence to establish that staff failed to provide adequate food service to residents. Therefore, this allegation is deemed Unsubstantiated at this time.


Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 31-AS-20260819115023
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: PALACE OF JOY
FACILITY NUMBER: 197610152
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/01/2026
Section Cited
CCR
87468.1(a)(1)
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Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:
(1) To be accorded dignity in their personal relationships....This requirement is not met as evidenced by:
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The licensee agreed to review residents’ personal rights and the staff and licensee will receive training on the section cited. Proof of staff/licensee training will be e-mailed to LPA by the POC POC due date.
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Based on interviews and LPA’s direct observation, the licensee did not comply with the section cited above by screaming at and acting aggressively toward Resident #1 (R1), 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.
SUPERVISOR'S NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5