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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609076
Report Date: 07/15/2026
Date Signed: 07/15/2026 12:20:19 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
07/06/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260706130041
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: 47DATE:
07/15/2026
UNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Candis AllenTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not prevent a resident from having access to a sharp object.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted an unannounced complaint investigation visit regarding the above allegation. LPA met with the administrator, Candis Allen and explained the reason for the visit. During today’s visit LPA conducted a tour of the facility between 9:40am to 10:30:am, interviewed the administrator, three (3) staff, and ten (10) residents between 10:30am to 11:30am, reviewed and requested copies of the following documents, between 11:30am to 12:00am: Resident roster, staff roster, and an invoice from the pest control company.

Regarding allegation: Staff did not prevent a resident from having access to a sharp object, it was reported that Resident 1 (R1), who resides in room 214 has a knife with them in their room. There were no direct witnesses identified to corroborate that R1 has a knife in their possesion. Moreover, R1 did not threaten anyone with the knife. It is also unknown where R1 got the knife. Reporting party also indicated that a staff was informed but was unable to find a knife in R1's room.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
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-20260706130041
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: 07/15/2026
NARRATIVE
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Interviews with the administrator and staff deny the allegation, stating there are no male residents in this facility identified by R1's name. The administrator adds that there were no residents occupying room 214 for approximately two months as it was being treated for pest control services. Interviews held with the ten residents also do not confirm the allegation, as residents were unable to identify R1, or if R1 had ever lived at this facility.

Review of the facility's resident roster confirm there is no resident on the list identified as R1. Also obtained for record and review were invoices from the pest control company confirming that room 14 was being serviced for insects and pests from about May 4, 2026 to about July 10, 2026.

Based on the department’s observations, interviews, and record review which were conducted, there was insufficient evidence to confirm the allegation of staff not preventing a resident from having access to a sharp object. Therefore, the allegation is deemed Unsubstantiated at this time. administrator advised and a copy of this report issued.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2