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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609076
Report Date: 05/04/2026
Date Signed: 05/04/2026 03:10:51 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.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
03/06/2026 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20260306163800
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: 44DATE:
05/04/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Candis AllenTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Staff do not safeguard resident’s belongings.
Staff do not provide an adequate quantity of food to residents in care.
Staff are not addressing pests in the facility.
Staff do not provide assistance to residents in a timely manner.
INVESTIGATION FINDINGS:
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On 5/04/26, Licensing Program Analyst, (LPA) Raymond Comer, arrived at the facility to conduct a subsequent visit regarding the allegation(s) listed above. LPA Gary Tan conducted the initial complaint visit on 03/13/26, at which time LPA Tan spoke with the facility Administrator, and at 9:43 AM, requested copies of facility documents relevant to the investigation.
During today's visit, at 11:00 am, LPA Comer conducted a tour to the facility; no health/safety issues were observed. Between 11:10 am and 11: 45 am, LPA spoke with Administrator and two (2) staff. Between 11:55 am and 12:40 pm, LPA Comer spoke with five (5) out of a total of forty-four (44) residents. Between 12:50 pm and 2:15 pm, LPA Comer recieved and reviewed facility roster, staff roster, staff in-service traning materials, pest control documentation from licensee's contracted vendor, (Ecolab) and other documents relevant to the investigation.

[LIC 9099C] Continued-
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026
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 3
Control Number 31-AS-20260306163800
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
VISIT DATE: 05/04/2026
NARRATIVE
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Allegation: Staff do not safeguard resident’s belongings. It was alleged that a resident took another residents toothbrush/toothpaste and that staff neglected to respond. It was also alleged that items (food and clothing) belonging to Resident#2 (R2) were taken by staff.
To investigate the allegation, LPA interviews with Administrator and Staff revealed the following: The Administrator stated to LPA Comer that staff are trained and instructed to conduct regular inspections of residents rooms to ensure they are stocked with required hygiene products (soap, toothbrush, toothpaste, toilet paper, etc.) Both Administrator and Staff#1 (S1) stated to LPA Comer that they communicated with Resident#1 (R1) and replenished them with a new toothbrush and toothpaste. Per S1, "R1 comes to me personally and asks for additional soap and toothpaste; we provide those items without question to all residents". LPA conducted an observation of R1's room; toothbrush, toothpaste, toilet paper and fresh towels were present.
Regarding the items alleged as taken from R2's room by staff, LPA Comer interviewed Administrator which revealed the following: Per Administrator, R2 was observed by staff to be hoarding items (bleach, toxics, spoiled food,excessive paper waste, etc.) in their room which were identified as health and safety hazards to themselves, and other residents within the community. Administrator informed R2 that such items are a violation of house rules and must be removed from R2's bedroom. R2 was given time to remove the items, however once the date to remove the items had elapsed, staff removed with those items with R2's knowledge. LPA Comer's review of documents revealed the following: R2's file contained "warning letters" informing R2 that the aforementioned items must be removed in order to comply with health/safety regulations. Five (5) out of a total of forty-four (44) residents stated to LPA Comer their satisfaction with staff efforts regarding safeguarding of resident's personal belongings.

Based on LPA observation, interviews, and records reviewed during this investigation, there is not sufficient information to conclude that “Staff failed to safeguard residents’ belongings”. Therefore, the allegation is deemed as UNSUBSTANTIATED at this time.

Allegation:Staff do not provide an adequate quantity of food to residents in care. It was alleged that not enough food is provided to residents and that residents regularly ask staff for more food.
To investigate the allegation, LPA Comer inspected the facility kitchen pantry, refrigerator, and freezer, which was observed to contain a sufficient variety and quantity of canned goods, fresh vegetables, chicken, and meats.

[LIC 9099C] Continued-
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260306163800
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
VISIT DATE: 05/04/2026
NARRATIVE
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LPA Comer interviewed five (5) out of a total of forty-four (44) residents which revealed the following: All five (5) residents interviewed stated their satisfaction regarding the quality, variety and food portions provided by staff.

Based on the inspection and the interviews, there is no sufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time

Allegation: Staff are not addressing pests in the facility. It was alleged that mice and roaches have been observed in the facility for several months.

To investigate the allegation, LPA Comer conducted a tour of the physical plant; No evidence of an active pest infestation was observed. A review of documents revealed the following: Licensee's contracted pest control vendor (Ecolab) conducted monthly inspections, replaced pest traps, and performed routine interior/exterior rodent service: Ecolab reports (Jan thru May 2026) state "No rodent/No cockroach activity were noted". LPA Comer interviewed five (5) out of a total of forty-four (44) residents which revealed the following: Four (4) out of all five (5) residents interviewed stated they have not observed, nor have concerns regarding pest issues at the facility.

Based on LPA Comer's observation, interviews, and records review, there is not sufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation: Staff do not provide assistance to residents in a timely manner. It was alleged that Resident#3 (R3) was walking through the facility hallways requesting staff assistance.
To investigate the allegation, LPA Comer interviewed R3 who stated the following: R3 stated to LPA Comer that facility staff are "wonderful" and that he is provided hourly room well checks by staff. Per R3, he feels safe living at the facility, and has no issues regarding the quality, or response timeliness of staff. LPA Comer interviewed five (5) out of a total of forty-four (44) residents which revealed the following: All five (5) residents interviewed stated their satisfaction with quality and timeliness of staff's response.

Based on LPA Comer's interviews with residents, there is not sufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3