197610370-4-13-2026-31-AS-NMAN-DTUR5A-20260507124250

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610370
Report Date: 04/13/2026
Date Signed: 04/13/2026 01:54:28 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
11/18/2025 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20251118114554

FACILITY NAME:	MELROSE GARDENS		FACILITY NUMBER:	197610370
ADMINISTRATOR:	VILLEGAS, MARCO		FACILITY TYPE:	740
ADDRESS:	960 N. MARTEL AVENUE		TELEPHONE:	(323) 876-1746
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	100	CENSUS: 56	DATE:	04/13/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Joseph "Yossi" Wieder-Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Licensee does not ensure that facility has adequate staffing to meet the needs of residents in care.

INVESTIGATION FINDINGS:

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On Monday, 4/13/26, Licensing Program Analyst (LPA) Raymond Comer conducted unannounced subsequent visit to complete an investigation of the above noted allegation.
It was reported on 11/17/25 that staffing levels were insufficent to ensure adequate care and supervision to residents. To deal with staff shortages, existing staff were compelled to work overtime hours and were exhausted, due to working overtime hours for an extended period.
To investigate the allegation, on 11/24/25, LPA conducted an initial complaint visit. During initial visit, at 1:25 pm, LPA spoke with the Administrator and discussed the allegations, and at 1:35 pm, conducted a tour of the facilty. At 1:45 pm, LPA recieved and reviewed residents roster and personnel roster.
Between 1:50 pm, and 2:30 pm, LPA conducted interview with Administrator, and two (2) staff.
During today’s visit, at 9:45 am, LPA conducted and physical plant tour to inspect overall levels of staff coverage. LPA observed various staff assisting residents in the activities room, dining room, housekeeping services, and med tech staff assiting residents; staffing levels appeared to provide aquequate resident care and supervion.
[LIC9099C] Continued-

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

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-20251118114554

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 GARDENS	FACILITY NUMBER: 197610370
	VISIT DATE: 04/13/2026

NARRATIVE

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Between 10:20 am and 12:15 pm, LPA interviewed additional staff. Between 12:45 pm, and 1:30 pm, LPA interviewed six (6) out of fifty-six total (56) residents.

LPA's interview with the Administrator revealed the following: Administrator refutes the allegation, stating to LPA that elevated levels of sick and vacation call outs are anticipated, especially during the holiday months of November and December. Per Administrator, adequate staff coverage is maintained by offering overtime to staff on a voluntary basis. (Overtime is never "required"; staff are always able accept or refuse to overtime hours) Additionally, Administrator stated to LPA that licensee is contracted with temp caregiver agency, Exemplary Care LLC., which provides additional caregiver staffers, if necessary.
LPA interviews with staff revealed the following: Five (5) out of five (5) staff stated to LPA that facility maintains adequate levels of staffing ensuring satisfactory resident care and supervision. All staff interviewed confirmed never being either compelled nor "required" to work overtime hours and chose to work overtime on a strictly volunteer basis. All staff interviewed confirmed to LPA that hours worked at the facility are neither egregious, nor did staff state feeling unable to get adequate rest/address personal concerns during their off-days due to working persistent overtime hours.
LPA interviews with six (6) out of fifty-six (56) residents revealed the following. All six (6) residents stated to LPA their satisfaction with facility staffing levels, and the quality of care and supervision provided to residents.
Based on LPA observations, and interviews of staff and residents, there isn't enough evidence to prove that there was inadequate supervision at the facility. Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted, and copy of this report was provided to Administrator.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

LIC9099 (FAS) - (06/04)

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