306005188-2-24-2026-22-AS-APAO-DRMV9W-20260225151501

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005188
Report Date: 01/30/2026
Date Signed: 02/24/2026 11:21:31 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/26/2026 and conducted by Evaluator Jerome Haley

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260126130316

FACILITY NAME:	ROYAL PALMS CARE HOME		FACILITY NUMBER:	306005188
ADMINISTRATOR:	FREDRIC ROBART		FACILITY TYPE:	740
ADDRESS:	5929 LOS RAMOS CIRCLE		TELEPHONE:	(714) 625-9425
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90620
CAPACITY:	6	CENSUS: 2	DATE:	01/30/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Frederick Robart		TIME COMPLETED:	03:59 PM

ALLEGATION(S):

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Resident was verbally abused by staff
Resident was not accorded dignity
Residents were physically abused by staff

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to investigate the complaint allegations listed above. LPA was greeted and granted entry by staff after introducing himself and stating the purpose of the visit.
The complaint investigation consisted of interviews with facility staff, document review, and observations.
During interviews, 3 of 3 individuals did not provide information that corroborates the complaint allegation. Two of the individuals interviewed provided information that contradicts the information provided in the complaint narrative.
According to Staff 2 (S2) and Staff 3 (S3), only caregivers are allowed in the facility. All three staff members interviewed denied seeing anyone throw anything at a resident or be rough or forceful when dealing with residents.
Based on the information gathered through interviews and document review, the allegation is deemed unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis.
An exit interview was conducted, and a copy of this report was provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026

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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