197609076-7-3-2026-31-AS-NMAN-DYCUMQ-20260928154244

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609076
Report Date: 07/03/2026
Date Signed: 07/03/2026 04:50:58 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
06/26/2026 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20260626094652

FACILITY NAME:	MELROSE VILLAS		FACILITY NUMBER:	197609076
ADMINISTRATOR:	ALLEN, CANDIS		FACILITY TYPE:	740
ADDRESS:	823 N POINSETTIA PLACE		TELEPHONE:	(323) 746-7840
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	68	CENSUS: 51	DATE:	07/03/2026
		UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Candis Allen-Administrator		TIME COMPLETED:	04:40 PM

ALLEGATION(S):

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Staff do not ensure that residents' rooms and bathrooms are clean.
Staff do not ensure that facility is free of pests.

INVESTIGATION FINDINGS:

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On 7/03/26, Licensing Program Analyst, (LPA) Raymond Comer, arrived at the facility to conduct an initial, 10 day visit to investigate the allegation(s) listed above. LPA Comer spoke with the facility Administrator, presented official CDSS badge and reason for the visit was explained.

During today's visit, at 2:45 pm, LPA Comer conducted a tour to the facility; no health/safety issues were observed. Between 3:00 pm, and 3:30 pm, LPA spoke with the Administrator and a staff. Between 3:35pm and 4:15pm LPA Comer spoke with five (5) out of a total of fifty-one (51) residents. Between 4:20 pm, and 4:40 pm, LPA Comer recieved and reviewed facility resident roster, staff roster, 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: 07/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026

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-20260626094652

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: 07/03/2026

NARRATIVE

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Allegation: Staff do not ensure that residents' rooms and bathrooms are clean. It was alleged that staff have not cleaned the resident rooms over a three week period, and that residents have been compelled to empty their own trash.
LPA tour of the facility revealed the following: LPA observed facility common areas (i.e., dining room, television\activities room, hallways, and patio area) as clean and clear of clutter. LPA conducted observations of random resident bedrooms and found them as clean, free of dirt, dust and clutter.
LPA interviews with staff revealed the following: Both the Administrator, and a Staff#1 (S1) refute the allegation, stating that housekeeping staff clean common areas and resident bedrooms/bathrooms on a daily basis.
LPA interviews with residents revealed the following: Out of a total of fifty-one (51) residents, five (5) out of five (5) residents interviewed confirm their satisfaction with level of cleanliness provided by housekeeping staff.

Based on the information gathered during this visit, this allegation is UNSUBSTANTIATED at this time.

Allegation: Staff do not ensure that facility is free of pests. It was alleged that roaches have been observed in the dining room and inside resident dresser drawers.
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 pest service: Ecolab reports (Jan 2026 thru Jun 2026) show that pest monitoring, bait traps and insecticide applications are applied throughout the facility's interior and exterior. LPA Comer interviewed five (5) out of a total of fifty-one (51) residents which revealed the following: Five (5) out of 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 that licensee is neglecting to keep facility free of pests. Therefore, the allegation is UNSUBSTANTIATED at this time.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026

LIC9099 (FAS) - (06/04)

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