<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609076
Report Date: 11/18/2025
Date Signed: 11/18/2025 02:51:37 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
11/13/2025 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20251113113049
FACILITY NAME:MELROSE VILLASFACILITY NUMBER:
197609076
ADMINISTRATOR:VERGARA, KANDICEFACILITY TYPE:
740
ADDRESS:823 N POINSETTIA PLACETELEPHONE:
(323) 746-7840
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:68CENSUS: 58DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Candis Allen-AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not keep facility free of bed bugs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Tuesday, 11/18/25, Licensing Program Analyst, (LPA) Ray Comer, arrived to conduct an unannounced initial 10-day visit to investigate the allegation. LPA met with the Administrator, presented official CDSS badge identification, and reason for the visit was disclosed.

To investigate the allegation, LPA conducted a physical plant tour at 10:35 am, received facility resident roster, staff roster and requested facility documents relevant to the investigation. LPA interviewed staff and residents between 11:05 am and 12:30 pm, and reviewed records from 12:40 pm and 1:30 pm.

Allegation: Staff did not keep facility free of bed bugs: The Reporting Party alleges that staff neglected to respond to the presence of pests (bed bugs) in the facility, and that staff refuse to treat the personal items of Resident#1, (R1) instead, staff have chosen to dispose of R1's items in the trash.

(Continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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-20251113113049
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: 11/18/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPAs' interview with the Administrator and staff revealed that on 10/03/25, the facility's pest control vendor (Ecolab) reported the presence on bed bugs in R1's room (#221). In the following weeks, Ecolab conducted further room inspections finding rooms #208, #207, #206, also having bed bugs; rooms #213, #106, #103 #205, and #203, were treated as a preventative measure. All residents in effected rooms were moved temporarily to unaffected rooms while Ecolab applied pesticide and heat treatments mattress and furnishings were immediately removed, clothing/linens were laundered at high temperature. Treated rooms were provided new new mattresses and furnishings, and residents returned to their rooms when cleared as "pest-free".

The RP (Father of R1) complains that staff are violating R1's personal rights, as they were unwilling to store R1's personal items. (canvas paintings created by R1) However, it was revealed that pest control vendor, Ecolab, recommended the items to be disposed due to the presence of imbedded bed bug eggs, and potential health hazards from chemicals applied to treat the bed bug issue. The Administrator communicated multiple times to the RP that storing the aforementioned items would be a potential health and safety risk and attempted to coordinate the transport of the items in RP's possession. However, the RP refused, and demanded that the facility must store R1's items. .

LPA interviews with residents revealed the following: Out of a today's census of fifty-eight (58) residents. Seven (6) out of six (6) residents confirmed to LPA that staff communicated to them of the bed bug issue, immediately responded by temporarily moving effected residents, providing pest control treatment, and replacing mattresses and furnishings to ensure the heath and safety of residents in care. All residents interviews stated to LPA that staff respect their personal rights and continue to feel safe living at the facility.

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

Exit interview conducted and a copy of report was proved to the Administrator.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2