198601566-12-15-2025-11-AS-SCIS-DPR36J-20251226165824

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601566
Report Date: 12/15/2025
Date Signed: 12/15/2025 01:18:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/19/2025 and conducted by Evaluator Felisa Shirley

COMPLAINT CONTROL NUMBER: 11-AS-20251119104403

FACILITY NAME:	STUDIO ROYALE		FACILITY NUMBER:	198601566
ADMINISTRATOR:	LEWIS,ERNEST D.		FACILITY TYPE:	740
ADDRESS:	3975 OVERLAND AVENUE		TELEPHONE:	(310) 836-5854
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	175	CENSUS: 91	DATE:	12/15/2025
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Rhonda Madrid, Community Relations Dir Sales and Marketing		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff stole money from resident

INVESTIGATION FINDINGS:

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On 12/15/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Community Relations Dir Sales and Marketing, Rhonda Madrid and explained the purpose of the visit is to investigate and deliver findings for the allegation mentioned above. LPA was granted access to the facility.

The investigation consisted of the following:
On 11/21/25 LPA Shirley reviewed copies of the following records: Staff Roster, Resident Roster, Identification and Emergency Information, Physician’s Report, Resident Appraisal, Appraisals Needs and Services, Service Plan, Admission Agreement, copy of Studio Royale Theft and Loss Policy, Resident Theft and Loss Record, LIC 613 Personal Rights, and POA Documents. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-9 (S1 – S9), and Resident -1 – Resident -8 (R1-R8).
Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025

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 11-AS-20251119104403

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: STUDIO ROYALE	FACILITY NUMBER: 198601566
	VISIT DATE: 12/15/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Staff stole money from resident

It is being reported that money was stolen from a resident by a member of staff. On 12/15/25, LPA Felisa Shirley reviewed Studio Royale’s Theft and Loss Policy. LPA also reviewed R1’s facility file and did not observe a completed, Resident Theft and Loss Record, (LIC 9060). Per interview with S1 on 11/21/25, there is no history of reports of theft from residents regarding staff.

LPA interviewed staff 1 – staff 9 (S1 – S9). Of those interviewed 9 out of 9 denied the allegation. LPA interviewed resident 1 – resident 8 (R1 – R8). Of those who interviewed 7 out of 8 denied the allegation. 1 resident confirmed the allegation.

Based on information gathered, LPA Shirley did not find sufficient evidence to support the allegation “Staff stole money from resident,” therefore, the allegation is unsubstantiated.

No deficiencies were cited for this allegation.

An exit interview was conducted and a copy of this report was provided to the Executive Director, William Boles.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025

LIC9099 (FAS) - (06/04)

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