374604895-7-29-2026-08-AS-SJAB-DWXNU9-20260814104558

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604895
Report Date: 07/29/2026
Date Signed: 07/29/2026 03:50:49 PM

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
07/24/2026 and conducted by Evaluator Angelica Boyles

COMPLAINT CONTROL NUMBER: 08-AS-20260724102851

FACILITY NAME:	MELROSE 48		FACILITY NUMBER:	374604895
ADMINISTRATOR:	MENDOZA, JUSTIN		FACILITY TYPE:	740
ADDRESS:	14548 GARDEN RD		TELEPHONE:	(858) 967-2176
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	6	CENSUS: 5	DATE:	07/29/2026
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Administrator Justin Mendoza		TIME COMPLETED:	03:19 PM

ALLEGATION(S):

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Staff are not maintaining facility bedrooms in good repair
Staff are not maintaining facility bedrooms in a clean condition
Staff do not have the required training
Staff are not able to communicate with resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to initiate and deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Justin Mendoza.

On July 24, 2026 the Department received this complaint which alleged staff are not maintaining facility bedrooms in good repair, staff are not maintaining facility bedrooms in a clean condition, staff do not have the required training, and staff are not able to communicate with Resident #1 (R1). [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] The Department’s investigation included a facility tour, record reviews, as well as interviews with residents, staff, and an outside source.

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

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 08-AS-20260724102851

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 48	FACILITY NUMBER: 374604895
	VISIT DATE: 07/29/2026

NARRATIVE

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(Continued from LIC9099)

Regarding the allegation that staff are not maintaining facility bedrooms in good repair, during unannounced facility visits LPA observed the facility to be clean, sanitary, and in good repair. Interviews with residents did not report concerns regarding the repair of their bedrooms. Additionally, LPA conducted an annual inspection of the facility on 7/20/26 and did not note any physical plant concerns.

Regarding the allegation that staff are not maintaining facility bedrooms in a clean condition, during unannounced facility visits LPA observed bedrooms to be clean and sanitary. LPA interviewed an Outside Source (OS1) who reported concerns regarding cobwebs and tables being dirty. LPA did not observe these concerns. Interviews with residents did not report cleanliness concerns of their bedrooms. Interviews with staff reported cleaning the bedrooms regularly.

Regarding the allegation that staff do not have the required training, LPA reviewed personnel records which revealed that staff had up to date required annual training and current CPR/first aid training.

Regarding the allegation that staff are not able to communicate with R1, according to an interview with OS1, R1 speaks and understands English and Spanish but Spanish is preferred. LPA interview with Administrator reported that none of the staff speak Spanish fluent Spanish, but they are trying to hire a Spanish speaking caregiver. LPA interviewed R1 who demonstrated understanding English and stated they can communicate their care needs in English with staff. Interviews with facility staff reported they are able to understand and communicate with R1 in addressing their daily care needs.

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 at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC9099 (FAS) - (06/04)

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