198601566-1-7-2026-11-AS-SCIS-DSFVCC-20260323161850

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601566
Report Date: 01/07/2026
Date Signed: 01/07/2026 03:21:04 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
01/02/2026 and conducted by Evaluator Elvira Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260102104043

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: 89	DATE:	01/07/2026
		UNANNOUNCED	TIME BEGAN:	08:17 AM
MET WITH:	Zoika Marroquin		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Licensee does not ensure facility is free of pests.
Staff are not fingerprint cleared.

INVESTIGATION FINDINGS:

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On 01/07/26, LPA Gonzalez conducted an unannounced complaint investigation visit for the allegations listed above. LPA met with Receptionist, Zoila Marroquin, and explained the purpose of the visit. LPA was granted access to the facility. Executive Director, William Boles, joined LPA for the visit shortly after.

The investigation consisted of the following: On 01/07/26, LPA Gonzalez collected the following documents: staff roster, resident roster, and service invoices from Dewey Pest Control dated 10/29/25 for November services, 12/16/25, and 12/26/25. LPA conducted interviews with staff #1-#7 (S1-S7), residents #1-#6 (R1-R6) and witness #1 (W1). Additionally, LPA Gonzalez and William Boles conducted a tour of the entire facility, and inspected resident rooms, the kitchen and common areas.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

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-20260102104043

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: 01/07/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Licensee does not ensure facility is free of pests. It is being alleged that there are spiders and roaches in the kitchen. It is also being alleged that there are roaches in a couple of rooms on the second floor, and in the housekeepers carts. On 01/07/26, LPA Gonzalez conducted interviews with S1-S7. Of those interviewed, 6 out of 7 staff denied the allegation. out 5 staff said pest control services are provided monthly. 6 out of 7 staff said the facility is kept clean and sanitary.

On 01/07/26, LPA Gonzalez conducted interviews with R1-R6. Of those interviewed, 5 out of 6 residents said the facility is free from pests. 5 out of 6 residents said they have not observed any roaches in their rooms or in the facility. 6 out of 6 residents said the facility is kept clean and sanitary.

On 01/07/26, LPA Gonzalez interviewed W1, a service representative from Dewey Pest Control. W1 stated the facility has an active service contract for weekly pest control services. W1 reported that services were completed on 11/18/25, 11/25/25, 12/02/25, 12/09/25, 12/16/25, 12/23/25, and 01/06/26.

On 01/07/26, LPA Gonzalez conducted a review of records, LPA reviewed pest control service invoices from Dewey Pest Control dated 10/29/25, 12/16/25, and 12/26/25. Documentation reflected that general pest control services were performed on the referenced dates.

On 01/07/26, LPA and William Boles conducted a tour of the facility and inspected rooms #210, 211, and #212 on the second floor, as well as the kitchen and common areas. LPA observed the inspected areas to be clean and free of pests.

Based on observation, records reviewed, and interviews conducted, the department did not find sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is unsubstantiated.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260102104043

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: 01/07/2026

NARRATIVE

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Allegation: Staff are not fingerprint cleared. It is alleged that staff are working in the facility without background clearance or may have felonies. On 01/07/26, LPA Gonzalez conducted interview with S1-S7. Of those interviewed, 7 out of 7 staff denied the allegation.

On 01/07/26, LPA Gonzalez conducted interviews with R1-R6. Of those interviewed, 6 out of 6 residents could not corroborate the allegation.

On 01/07/26, LPA Gonzalez conducted a review of facility records. Five personnel files were reviewed and observed to be in order. LPA reviewed the Personnel Report (LIC 500) dated 01/07/26 and verified that all five staff members were cross-referenced through the Licensing Information System (LIS 531) and the Community Care Licensing Guardian System. Results confirmed that all staff members have obtained criminal record clearance. Additionally, it was verified that all five staff members successfully completed the criminal record background check as required by Title 22, Section 81019 (Criminal Record Clearance).

Based upon records review and interviews conducted, the findings indicate that, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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