197608129-7-2-2025-29-AS-KLOZ-DK44YB-20250730193052

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608129
Report Date: 07/02/2025
Date Signed: 07/02/2025 01:59:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2024 and conducted by Evaluator Erica Mosley

COMPLAINT CONTROL NUMBER: 29-AS-20241017162102

FACILITY NAME:	RESIDENCES AT ROYAL BELLINGHAM, THE		FACILITY NUMBER:	197608129
ADMINISTRATOR:	LORI MCKAY		FACILITY TYPE:	740
ADDRESS:	12229 CHANDLER BOULEVARD		TELEPHONE:	(818) 980-2997
CITY:	VALLEY VILLAGE	STATE: CA	ZIP CODE:	91607
CAPACITY:	96	CENSUS: 91	DATE:	07/02/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Rizaandrea Vitug - Assistant Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff member sexually abused resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced subsequent complaint visit. The purpose of this visit is to deliver findings for the above allegation. Upon arrival at 10 a.m., LPA Mosley was greeted by front desk staff and Assistant Administrator. LPA Mosley met with Assistant Administrator Rizaandrea Vitug and explained the reason for the visit.
On 10/17/2024 the Department received a complaint regarding the following allegation Staff member sexually abused resident in care. On 10/18/2024 a referral was made to the Community Care Licensing Division's (CCLD) Investigation Branch (IB). Investigator Olivia Spindola was assigned to the investigation. On 10/18/2024 LPA Mosley conducted the initial 10-day complaint visit. Strating at 9:50 a.m., LPA along with Assistant Administrator, Rizaandrea Vitug conducted a physical plant tour to ensure there were no immediate health and safety concerns, starting at 10:30 a.m., LPA requested copies of pertinent documents relevant to the investigation, starting at 11:05 a.m. LPA conducted a file review.
Report continued on LIC 9099C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

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 3

Control Number 29-AS-20241017162102

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: RESIDENCES AT ROYAL BELLINGHAM, THE	FACILITY NUMBER: 197608129
	VISIT DATE: 07/02/2025

NARRATIVE

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(PAGE 2) Report continued from LIC 9099...

On 11/12/2024 starting at 10:30 a.m., Investigator Olivia Spindola conducted an interview with Resident #1 (R1). On 12/18/2025 LPA Mosley conducted an unannounced subsequent complaint visit. Starting at 10:15 AM., the LPA, along with Assistant Administrator Rizaandrea Vitug conducted a physical plant tour to ensure there were no immediate health and safety concerns. From 11:30 a.m., - 3:20 p.m., LPA conducted interviews with eight (8) residents and four (4) staff including the Executive Director and the Assistant Administrator and obtained copies of pertinent documents relevant to the investigation.

During today’s visit, starting at 10 a.m. LPA conducted the entrance interview and a brief physical plant tour to ensure there are no immediate health and safety concerns and facility is in compliance with Title 22 Regulations.

On the allegation Staff member sexually abused resident in care it is the concern of the reporting party (RP) that a staff member came into R1’s room and inappropriately touched R1. To investigate this complaint, on 10/18/2024 a referral was made to the Community Care Licensing Division's (CCLD) Investigation Branch (IB) and Investigator Olivia Spindola was assigned to the investigation. On 10/18/2024 starting at 10:30 a.m., LPA requested copies of pertinent documents relevant to the investigation, starting at 11:05 a.m. LPA conducted a file review. On 11/12/2024 starting at 10:30 a.m., Investigator Olivia Spindola conducted an interview with R1. On 11/21/2024 Investigator Olivia Spindola identified that the complaint did not warrant upgrading and was returned to the Woodland Hills North Regional Office. On 12/18/2025 starting at 11:30 a.m., LPA Mosley conducted interviews with eight (8) residents including R1, four (4) staff including the Executive Director (ED), the Assistant Administrator and obtained copies of pertinent documents relevant to the investigation. Interviews with R1 revealed that in August sometime the exact date is unknown around 2:30 a.m., a shadow of a man, possible staff member entered their unlocked room. The room was dark however there was a dimmed light on.

Report continued on LIC 9099C PAGE 3....

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 29-AS-20241017162102

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: RESIDENCES AT ROYAL BELLINGHAM, THE	FACILITY NUMBER: 197608129
	VISIT DATE: 07/02/2025

NARRATIVE

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(PAGE 3) Report continued from LIC 9099...
R1 began grunting, seemingly startled by the person who entered, prompting them to turn around and exit. R1 stated that after this no one returned to their room. R1 was not inappropriately touched or assaulted. Interview with ED revealed that R1 had made the facility aware they believed someone entered their room however was unable to specify who and when. In response, the ED reviewed the security footage but found no evidence of anyone entering R1s room during the approx. day and time. R1 did not disclose any sexual abuse to the ED. Interviews with staff revealed that facility staff do not enter resident rooms without knocking adhering to the facilities privacy policy. The staff have never heard or witnessed inappropriate behavior from colleagues, including any incidents of sexual misconduct. Resident interviews revealed that they have never experienced staff coming into their room without permission and have no concerns with the staff. The resident has never experienced inappropriate or sexual contact from staff and has never heard of such incidents occurring between staff and residents. Furthermore, the residents feel safe at the facility and their needs are being met. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Staff member sexually abused resident in care is deemed unsubstantiated at this time.

No deficiencies were observed or cited. Exit interview conducted. Report was reviewed and a copy was provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

LIC9099 (FAS) - (06/04)

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