197608401-7-9-2025-31-AS-NMAN-DJTSFG-20250722135020

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608401
Report Date: 07/09/2025
Date Signed: 07/09/2025 03:09:16 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2024 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20240415113140

FACILITY NAME:	VICTOR ROYALE, LLC		FACILITY NUMBER:	197608401
ADMINISTRATOR:	PETER BABAIAN		FACILITY TYPE:	740
ADDRESS:	120 E. LAUREL STREET		TELEPHONE:	(818) 243-7442
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	60	CENSUS: 51	DATE:	07/09/2025
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Veronica Behar		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not provide adequate supervision, resulting in a resident leaving the facility unsupervised
Facility did not have adequate staff to meet the needs of the residents

INVESTIGATION FINDINGS:

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***This is an addendum to the Licensing report previously issued on 04/22/2024. The report was updated to provide additional information to support the outcome of investigation.***

At approximately 10:45 a.m. on 07/09/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the licensee and disclosed the reason for the visit.

To investigate the allegations above, LPA Valenzuela conducted an initial visit on 04/22/24 and interviewed three (03) facility staff including staff #1 (S1) who assisted a credible witness when they arrived at the facility between 3:30 p.m. and 4:00 p.m. Today, LPA Reed interviewed staff and residents between 11:00 a.m. and 2:00 p.m., conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, the staff schedule for the month of April 2024, and staff and client rosters at 11:15 a.m., and toured the facility inside and out at 11:30 a.m.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025

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 31-AS-20240415113140

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: VICTOR ROYALE, LLC	FACILITY NUMBER: 197608401
	VISIT DATE: 07/09/2025

NARRATIVE

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Staff did not provide adequate supervision, resulting in a resident leaving the facility unsupervised.

It was reported that on 04/12/24, Resident #1 (R1) left the facility unsupervised and ended up at the hospital. Interviews with the administrator and other staff revealed that the facility is not locked, and the residents can come and go as they please. Staff indicated that on 04/12/2024, R1 left the facility without signing out or notifying staff where they were going. R1 did not return to the facility, and they filed missing person’s report the following day. A review of R1’s facility record revealed that R1 is able to leave the facility unassisted and does not require supervision. Based on interviews and records review, there is insufficient information to support this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.

Facility did not have adequate staff to meet the needs of the residents.

It was alleged that on 04/13/2024, while credible witness visited the facility, there was only one staff member Staff #1 (S1) present and working at the facility to meet all residents’ needs. Interviews with staff and the Administrator revealed that the facility does have sufficient staff to provide care and supervision, as well as to meet the needs of residents in care. Staff revealed that on 04/13/24 when police arrived to the facility due to R1 missing from the facility, there were 3-4 staff present in the facility (2 caregivers, one housekeeper and a cook). Police spoke with S1 only, because S1 was assigned to assist R1. A review of the staff schedule indicated that there were at least three (03) other staff on shift on 04/13/24 (one other caregiver, one server, and a cook). Based on interviews and records review, there is no sufficient information to verify validity of the complaint. Thus, this allegation is UNSUBSTANTIATED at this time.

No immediate health and safety hazards were noted at the time of this visit.

Exit interview conducted. Copy of the report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025

LIC9099 (FAS) - (06/04)

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