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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608129
Report Date: 03/24/2026
Date Signed: 03/24/2026 03:34:30 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
11/04/2025 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20251104153855
FACILITY NAME:RESIDENCES AT ROYAL BELLINGHAM, THEFACILITY NUMBER:
197608129
ADMINISTRATOR:ANGELITO VITUGFACILITY TYPE:
740
ADDRESS:12229 CHANDLER BOULEVARDTELEPHONE:
(818) 980-2997
CITY:VALLEY VILLAGESTATE: CAZIP CODE:
91607
CAPACITY:96CENSUS: 87DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Riza Vitug - Assistant Administrator
Lito Vitug - Exceutive Director
TIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Due to staff neglect, resident sustained pressure injuries
Staff retained a resident with a prohibited health condition
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced subsequent visit to deliver findings for the above allegations. The LPA arrived at 9:48AM and met with Assistant Administrator (AA) Riza Vitug. The Executive Director (ED) Lito Vitug arrived at 11:08AM Entrance interview conducted.

On 11/05/2025, the LPA conducted an initial visit. Between 9:41AM and 10:38AM, the LPA conducted a physical plant tour and reviewed and obtained pertinent documents.

Between 11/10/2025 and 02/13/2026, the Department conducted interviews with facility Administrators, staff, residents, and related facility. The Department also obtained and reviewed hospital records.

Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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 2
Control Number 29-AS-20251104153855
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: 03/24/2026
NARRATIVE
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During today’s visit, the LPA conducted a physical plant tour at 10:02AM and no immediate concerns were observed. The following was then determined:

Allegations: “Due to staff neglect, resident sustained pressure injuries” and “Staff retained a resident with a prohibited health condition”

It was reported that Resident #1 (R1) sustained pressure injuries while under the care of the facility in addition to the facility admitting R1 with an existing unstageable pressure injury. On 10/25/2025, R1 was transported unannounced to The Residences At Royal Bellingham from a previous licensed facility. Upon admission, R1 was assessed and noted a sacral area that was reportedly only red in discoloration at that time. On 10/29/2025, R1 was transferred to the hospital for recurrent nosebleeds and returned to the facility later that evening. The following day, 10/30/2025, staff observed R1’s sacral area had opened and arranged transportation to the hospital for further evaluation and treatment. Staff #1 (S1) reported that prior to the hospital visits, they had provided R1 with two (2) showers and did not observe any open wounds. The Facility Manager stated that staff provided care as required, including repositioning R1 every two (2) hours. Interview with R1 revealed no concerns regarding their care and stated that staff met their needs. When asked about their pressure injuries, R1 reported that they had existed for a long time.

Physician’s Report dated 07/22/2025 documented that R1 was bedridden with diagnoses including hemiplegia and hemiparesis following infarction affecting the left non-dominant side, as well as protein-calorie malnutrition. Hospital records dated 10/31/2025 documented right lower extremity cellulitis and three (3) exposed subcutaneous chronic non-pressure ulcers located on the right hallux, right plantar forefoot, and the right heel. R1 subsequently received wound care consultations addressing only the lower extremity wounds; no documentation confirmed the presence of an unstageable sacral wound.

Based on interviews and record review, R1 had pre-existing chronic non-pressure ulcers and hospital documentation did not confirm the presence of an unstageable sacral wound. The facility additionally took appropriate action by seeking a higher level of care when R1’s sacral area showed signs of deterioration. Although the allegations may have happened or are valid, there is insufficient evidence to prove that staff neglect contributed to R1’s condition, therefore the allegations are deemed UNSUBSTANTIATED at this time.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2