197610152-2-18-2026-31-AS-NGID-DVQTL7-20260706144905

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610152
Report Date: 02/18/2026
Date Signed: 02/18/2026 12:31:48 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
12/08/2025 and conducted by Evaluator Huma Rahimi

COMPLAINT CONTROL NUMBER: 31-AS-20251208091849

FACILITY NAME:	PALACE OF JOY		FACILITY NUMBER:	197610152
ADMINISTRATOR:	GRIGORYAN, MARINE		FACILITY TYPE:	740
ADDRESS:	6701 KURL WAY		TELEPHONE:	(747) 265-6536
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	6	CENSUS: 4	DATE:	02/18/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Marine Grigoryan, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent a resident from smoking drugs inside the facility.
Staff did not ensure that complete resident records were maintained at the facility.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 9:45 a.m., Licensing Program Analyst (LPA) Huma Rahimi conducted a subsequent complaint visit to investigate the above-stated allegations. LPA met with Staff #1 (S1), Lourdes Zapata, and the staff contacted the Administrator by telephone. LPA explained the reason for the visit, and the Administrator arrived shortly thereafter.

An initial complaint visit was conducted on 12/10/2025. During that visit, LPA obtained copies of the client and staff rosters. LPA interviewed the Administrator. At 9:40 AM, LPA requested copies of resident documentation. The Administrator informed LPA that, in accordance with the three (3) years retention practice, all resident records older than three (3) years had been purged and were no longer available for audit or review During today's visit, between 10:00 am to 12:00 pm, LPA conducted interview with the Administrator, two (2) staff, and two (2) out of four (4) residents who were avaliable. At 12:10 PM, LPA conducted file review of four (4) out of four (4) residents.
Continue on LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

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 2

Control Number 31-AS-20251208091849

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: 02/18/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Staff did not prevent a resident from smoking drugs inside the facility.
It was alleged that staff did not prevent a resident from smoking drugs inside the facility. To investigate, LPA conducted interviews with the Administrator, two current staff, and two (2) out of four (4) residents who were available. The Administrator denied the allegation and stated the facility maintains a strict no-drug policy and that staff supervision is provided at all times. The Administrator confirmed one resident death occurred in September 2022 while receiving hospice services for end-stage heart failure but denied any knowledge of drug use. Staff reported they were not employed at the facility in September 2022 and have never observed drug or alcohol use. Staff also confirmed that all resident rooms are monitored and that no residents currently require oxygen. Interview with two (2) out of four (4) residents stated that drugs are not used at the facility, substance use is prohibited, and staff maintain resident safety. Based on interviews and observations, there is insufficient evidence to support the allegation. This allegation is Unsubstantiated at this time.

Staff did not ensure that complete resident records were maintained at the facility.
It was alleged that staff did not maintain complete resident records. To investigate, LPA conducted interviews with the Administrator, two current staff, and two (2) out of four (4) residents who were available, and reviewed current resident files. The Administrator stated that all required documentation, including Admission Agreements, Physician’s Reports, and Appraisal/Needs and Services Plans, are maintained at the facility. The Administrator further stated that records older than three years are purged in accordance with Title 22 CCR. Staff confirmed that records are securely stored, accessible during emergencies, and complete.

Interview with two (2) out of four (4) residents confirmed that their medical and non-medical records are complete and accessible, and emergency personnel have never been unable to access records. During today's visit, LPA reviewed four (4) out of four (4) resident files and observed documentation was complete, organized, and maintained in compliance with regulatory requirements. Based on interviews and record review, there is insufficient evidence to support the allegation. This allegation is Unsubstantiated at this time.

Appeal rights explained and exit interview conducted.

Copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2