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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610370
Report Date: 01/15/2026
Date Signed: 01/15/2026 11:29:02 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
10/29/2024 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20241029123550
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: 52DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Joseph "Yossi" Wieder-AdministratorTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Staff does not safeguard resident's personal belongings.
Staff do not allow resident to have visitors.
INVESTIGATION FINDINGS:
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On Thurday, 1/15/26, Licensing Program Analyst (LPA) Raymon Comer conducted an unannounced subsequent visit to the facility to conduct additional investigations and render findings for the above noted allegations. LPA met with the Administrator, and informed them about the purpose of this visit.

The investigation of the allegations was initiated on 11/04/2024 at which time LPA Comer requested residents and staff rosters. At 11:30 am, LPA requested and received copies of Residents files, including but not limited to Physician report, need and service plan, inventory records of resident(s) personal belongings and other documents relevant to investigation. In addition, on 12/04/2025, between 12:10 pm and 12:30 pm, LPA inspected R1’s room and observed and assessed R1. At 12:45pm, other residents and staff were interviewed.

[LIC9099C] Continued

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
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 3
Control Number 31-AS-20241029123550
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: 01/15/2026
NARRATIVE
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Allegation: Staff does not safeguard resident's personal belongings.

It was alleged that Resident #1’s (R1’s) friend purchased comforters and sheets for R1, but they were lost or stolen before being used. Staff revealed that R1’s linens and comforters are being changed as frequently as needed and no one ever reported them lost or stolen. Other residents interviewed during investigation did not reveal any concerns regarding their personal belongings.
A review of R1’s inventory record of personal belongings did not verify that R1 had linens and comforters.
Per LPAs inspection and observation of R1’s bedroom, R1 had fresh linens on their bed, and they appeared to be clean and dry.

Based on inspection, observation, interviews and record reviews, there is not sufficient information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation: Staff do not allow resident to have visitors.

Concerns were addressed that about two weeks prior to October 29, 2024, based on the request by R1’s family member, the Administrator informed one of the visitors (V1) that they would no longer be allowed to visit R1 as contact with the visitor could affect R1’s health and safety.
The Executive Director (ED) and other staff revealed that V1 was coming to the facility and hanging around in R1’s room until visitation hours were over. V1 was coming to the facility under the influence of alcohol and exhibiting aggressive behavior towards R1, making them upset and agitated. R1 was in shared room and while V1 was present, he was not allowing staff to assist R1, and their roommate. The ED made attempts to allow supervised visitation to V1. However, it angered V1 causing them to make verbal threats to facility staff.

ED was in contact with R1’s responsible party/family member (F1), who also noted V1’s negative impact towards R1’s health and safety. Based on F1’s written request, as well as complaints and concerns addressed by the facility staff and other residents, ED had no choice but to prohibit R1 from visiting the facility. V1’s presence was posing a hazard not only to R1 but also R1’s roommate, other residents and staff.
Interview with F1 verified the information received from ED and other staff.

[LIC9099C] Continued
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 31-AS-20241029123550
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: 01/15/2026
NARRATIVE
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A review of e-mail communications between ED and family member, supported the information received from interviews.
Based on interviews, and record review, the allegation did occur and V1 was prohibited to come to the facility. However, the decision was made to protect health and safety of R1, other residents and staff. Therefore, the allegation is UNSUBSTANTIATED at this time.

No immediate health and safety hazards were noted. Exit interview was conducted and a copy of report was issued.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3