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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603385
Report Date: 04/14/2026
Date Signed: 04/14/2026 06:13:16 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2026 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260225171826
FACILITY NAME:COMMONWEALTH ROYALE GUEST HOMEFACILITY NUMBER:
197603385
ADMINISTRATOR:ZARA POGHOSYANFACILITY TYPE:
740
ADDRESS:150 S. COMMONWEALTH AVETELEPHONE:
(213) 382-6381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:106CENSUS: 102DATE:
04/14/2026
UNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Zara Poghosyan, Executive DirectorTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff yelled at a resident in care.


INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit to investigate the above allegations. The purpose of the visit was discussed with Administrative Assistant Diana Rios. Executive Director Zara Poghosyan arrived shortly after.

The investigation consisted of: On 3/5/2026, LPA interviewed 3 staff and resident (R1), reviewed 5 resident Medication Administration Records (MARs) and reviewed/collected resident face sheets, physician reports, MARs, resident appraisals, and resident/staff rosters. During today's visit, LPA toured the physical plant, interviewed 7 staff and 14 residents and reviewed R1's March & April 2026 MAR records, and collected S1's disciplinary action "Counseling Record" and In-service training sheet (3/19/26).

*Narrative continues next page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
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 28-AS-20260225171826
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME
FACILITY NUMBER: 197603385
VISIT DATE: 04/14/2026
NARRATIVE
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Allegation: Staff yelled at a resident in care. It is alleged that a medication technician (med-tech) staff has a bad attitude because they are rude, argue, and yell at resident (R1). According to information obtained, staff (S1) speaks in an aggressive manner. A total of 15 mentally disabled residents were interviewed. Resident interviews revealed that sometimes S1 responds in an aggressive manner and yells at residents when they ask staff for medications. One resident stated that S1 has called them "crazy". Resident (R1) stated that med-tech/S1, Wellness Director, and Administrative Assistant yell at the resident. A total of 10 staff were interviewed, of which 7 confirmed the allegation. Staff interviews revealed that med-tech/S1 sometimes speaks to residents with an aggressive, strong tone of voice and has been observed being confrontational and scolding residents and resident (R1). Staff (S1) stated they sometimes lose their patience when residents are rude toward them. Per record review, staff (S1) did not have any disciplinary record on file at the time of the initial complaint visit. However, on 3/12/2026, S1 received a written counseling warning regarding the use of abusive language. There is sufficient information to support the allegation.

Based on observation and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Pursuant to Title 22, California Code of Regulations, a deficiency was cited.



An exit interview conducted, copy of the report and appeal rights was provided to Executive Director.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20260225171826
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME
FACILITY NUMBER: 197603385
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/28/2026
Section Cited
CCR
87413(a)(2)
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Personnel - Operations. In each facility: Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice.

This requirement was not met evidenced by:
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Executive Director agreed to submit:

1/. A written plan of correction addressing verbal abuse, facility procedures, and disciplinary action.

2. Proof of staff in-service training on Personal RIghts and Personnel Operations.
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Based on interviews, the findings indicate that S1 yells at residents and resident (R1), and can also be confrontational with staff. This poses a potential health, safety, and 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.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2026 and conducted by Evaluator Noemi Galarza
COMPLAINT CONTROL NUMBER: 28-AS-20260225171826

FACILITY NAME:COMMONWEALTH ROYALE GUEST HOMEFACILITY NUMBER:
197603385
ADMINISTRATOR:ZARA POGHOSYANFACILITY TYPE:
740
ADDRESS:150 S. COMMONWEALTH AVETELEPHONE:
(213) 382-6381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:106CENSUS: 102DATE:
04/14/2026
UNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Zara Poghosyan, Executive DirectorTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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2
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Staff did not administer medications to a resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit to investigate the above allegations. The purpose of the visit was discussed with Administrative Assistant Diana Rios. Executive Director Zara Poghosyan arrived shortly after.

The investigation consisted of: On 3/5/2026, LPA interviewed 3 staff and resident (R1), reviewed 5 resident Medication Administration Records (MARs) and reviewed/collected resident face sheets, physician reports, MARs, resident appraisals, and resident/staff rosters. During today's visit, LPA toured the physical plant, interviewed 7 staff and 14 residents and reviewed R1's March & April 2026 MAR records, and collected S1's disciplinary action "Counseling Record" and In-service training sheet (3/19/26).

*Narrative continues next page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20260225171826
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME
FACILITY NUMBER: 197603385
VISIT DATE: 04/14/2026
NARRATIVE
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Allegation: Staff did not administer medications to a resident in care. The complaint alleges that med-tech staff (S1) refuses to administer PRN medications and give them to the resident "when they want, and "not when I need it." It is also alleged that sometimes medications are given 2 hours late. A total of 15 residents were interviewed, of which 14 stated their medications are administered on time and have no issues with medication management. Staff interviews revealed that R1 asked the night shift med-tech staff to give them their morning medications, but the day shift med-techs had already clocked in and had begun passing out AM medications. Staff stated that R1 sometimes refused their psychiatric medications, but requests pain medications and Alprazolam. Resident (R1) has a PRN order for Alprazolam because the doctor wants to ensure the medication is administered in case the facility runs out of the routine Alprazolam medication. Therefore, when R1 asked for the PRN medication they were told they could not administer the medication because it is only to be given if they run out during the cycle change. The cycle begins on the 21st of each month, and there are 2 pharmacies that handle resident medications. Per Medication Administration Record review, no discrepancies were observed in medication administration. There is insufficient information to prove 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.



Exit interview conducted with Executive Director. A copy of the report was issued.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5