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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604891
Report Date: 07/21/2026
Date Signed: 07/22/2026 09:41:16 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/17/2026 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20260717121443
FACILITY NAME:MELROSE 28FACILITY NUMBER:
374604891
ADMINISTRATOR:MENDOZA, JUSTINFACILITY TYPE:
740
ADDRESS:14528 GARDEN RDTELEPHONE:
(858) 967-2176
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:6CENSUS: 4DATE:
07/21/2026
UNANNOUNCEDTIME BEGAN:
11:04 AM
MET WITH:Administrator Justin Mendoza
Caregiver Mayen Ladrillono		TIME COMPLETED:
03:58 PM
ALLEGATION(S):
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Staff are not serving an adequate amount of food portions to resident in care.
Staff are not storing an adequate amount of food in the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to initiate a complaint investigation and deliver investigative findings regarding the above mentioned allegations. LPA identified herself, explained the purpose of the visit and nature of the complaint to Caregiver Mayen Ladrillono and Administrator Justin Mendoza.

On July 17, 2026 the Department received this complaint which alleged staff are not serving an adequate amount of food portions to residents in care and staff are not storing an adequate amount of food in the facility. The Department’s investigation included a facility tour and interviews with residents and staff.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
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 08-AS-20260717121443
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: MELROSE 28
FACILITY NUMBER: 374604891
VISIT DATE: 07/21/2026
NARRATIVE
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Regarding the allegation that staff are not serving an adequate amount of food portions to residents in care, during unannounced visit LPA observed adequate food portions being served at lunch with balanced nutritional value. Interviews with residents reported that they are getting enough food to eat every day. Interviews with staff reported they provide second servings when requested by residents and also provide different snack options throughout the day.

Regarding the allegation that staff are not storing an adequate amount of food in the facility, during unannounced visit LPA observed at least 2 days of perishable food, and at least 7 days non-perishable food present. Additionally, LPA observed a selection of snacks easily accessible to the residents. Interviews with residents in care did not raise any concern regarding the amount of food present at the facility.

The Department has investigated the above mentioned allegations. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated.

An exit interview was conducted with Administrator Justin Mendoza, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
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