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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610370
Report Date: 08/25/2026
Date Signed: 08/25/2026 11:55:36 AM

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
10/21/2025 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20251021083505
FACILITY NAME:MELROSE GARDENSFACILITY NUMBER:
197610370
ADMINISTRATOR:VILLEGAS, MARCOFACILITY TYPE:
740
ADDRESS:960 N. MARTEL AVENUETELEPHONE:
(323) 876-1746
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:100CENSUS: 50DATE:
08/25/2026
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Joseph "Yossi" Wieder-AdministratorTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Staff did not administer resident's medication.
Staff are rude to residents.
INVESTIGATION FINDINGS:
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On 8/25/26, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a subsequent visit regarding the allegation listed above. LPA conducted the initial complaint visit on 10/28/25. LPA met with facility Administrator, presented official CDSS badge identification, and reason for the visit was disclosed.

At 10:50 am, LPA conducted a physical plant tour; no health and safety issues were observed.

Allegation: Staff did not administer residents's medication.

It was alleged that on 10/17/25, Staff #1 (S1) withheld Resident #1's (R1) insulin. To investigate the allegation, LPA interviewed two (2) staff, and eight (8) residents; both staffers refute the allegation and stated they do not refuse residents their medications.
[LIC 9099C] Continued-
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
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-20251021083505
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: 08/25/2026
NARRATIVE
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 Based on records review and staff interviews, R1 was provided their medications as prescribed. S1 stated to LPA that they did not work at the facility on 10/17/25; a review of the facility staff schedule shows S1 was not scheduled to work on the date of the alleged incident. LPA documents reviewed revealed the following: R1 is able to perform their own glucose testing, and administer their own medication injections with some assistance by staff.

Based on interviews and records review, the allegation is unsubstantiated at this time.


Allegation: Staff are rude to residents. It was alleged that Staff#1 (S1) treats Resident#1 (R1) and other residents rudely. To investigate this allegation, LPA interviewed eight (8) out of a total fifty-four (54) residents. Seven (7) out of eight (8) residents interviewed stated to LPA that they have no issues with staff temperament and are treated respectfully by staff.

Based on interviews and record review, the allegation is unsubstantiated at this time.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2