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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609076
Report Date: 01/15/2026
Date Signed: 01/15/2026 01:05:36 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
01/14/2026 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20260114145051
FACILITY NAME:MELROSE VILLASFACILITY NUMBER:
197609076
ADMINISTRATOR:ALLEN, CANDISFACILITY TYPE:
740
ADDRESS:823 N POINSETTIA PLACETELEPHONE:
(323) 746-7840
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:68CENSUS: 49DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Candis Allen-AdministratorTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Staff are not adhering to hand washing protocols.
INVESTIGATION FINDINGS:
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Today, Thursday, 1/15/26, Licensing Program Analyst (LPA) Ray Comer, conducted an unannouced initial complaint visit, to obtain and gather information regarding the allegation mentioned above. LPA met with Administrator, and informed her of the reason for the visit.

During today's visit, LPA toured the facility and interviewed staff and residents.

Allegation: Staff are not adhering to hand washing protocols. The reporting party claims that there is no hand soap available for residents to wash their hands and that facility’s bathrooms do not have hand soap.

LPA conducted a walk through and observed there was no soap in the first floor restroom. Interviews were conducted with residents and staff. Based on the information obtained, this allegation is deemed Substantiated.
Deficiencies cited on LIC 9099 D. Appeal Rights explained. Exit Interview conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
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 31-AS-20260114145051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: MELROSE VILLAS
FACILITY NUMBER: 197609076
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/15/2026
Section Cited
CCR
87307(a)(3)(D)
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Personal Accommodations & Services: Equipmen/supplies necessary for personal care...of adequate hygiene practice shall be readily available to each resident. Hygiene items,,,such as soap and toilet paper. This requirement was not met as evidenced by:
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As POC, licensee will insure that all bathrooms, in use by the residents in care will be supplied with hand washing soap. Additionally, Admin will conduct staff training regarding required hygiene protocols, as per Title 22. Admin will complete POC and inform LPA by 1/27/26
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During the physical plant inspection of the facility, LPA observed at first floor facilty bathroom not supplied with hand soap, which can pose a potential health and safety risk to the residents 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: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
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