197610370-3-27-2026-31-AS-NMAN-DSRL23-20260402082140

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610370
Report Date: 03/27/2026
Date Signed: 03/27/2026 02:46:52 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
03/23/2026 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20260323090813

FACILITY NAME:	MELROSE GARDENS		FACILITY NUMBER:	197610370
ADMINISTRATOR:	VILLEGAS, MARCO		FACILITY TYPE:	740
ADDRESS:	960 N. MARTEL AVENUE		TELEPHONE:	(323) 876-1746
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	100	CENSUS: 55	DATE:	03/27/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Joseph "Yossi" Wieder - Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff do not ensure the safety of residents from other residents.

INVESTIGATION FINDINGS:

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On Friday, 03/27/26, Licensing Program Analyst, (LPA) Raymond Comer, conducted an initial 10-day complaint visit to investigate the above allegation. LPA presented official CDSS identification badge, met with the Administrator, and reason for the visit was disclosed.

At 9:45 am, LPA conducted a physical plant tour; no health and safety issues were observed. During LPA's tour of the facility, LPA observed California RCFE Complaint Poster (PUB 475) prominently displayed in common area of the facility.

To investigate the allegation, Between 10:05 am and 10:35 am, LPA received and reviewed Facility Resident roster, Personnel roster, Resident#1 (R1) Physician Report, Appraisal/Needs & Services Plan, and other pertinent documentation. Between 11:00 am, and 12:30 pm, LPA interviewed the Administrator, Three (3) Staff, and Six (6) Residents.

[LIC9099C] Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

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 31-AS-20260323090813

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: 03/27/2026

NARRATIVE

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Allegation: Staff do not ensure the safety of residents from other residents.
It was alleged that on 03/20/2026, Resident #1 (R1) was verbally and physically aggressive towards Resident#2. (R2) Reporting Party alleges that staff did not intervene to address R1's alleged aggression.

LPA's interview with Administrator, and three (3) staff revealed the following: There was no physical altercation between R1 and R2. Administrator and staff stated to LPA that although R1 is known for using "cursing and strong language" on occasion when frustrated, R1 is not physically combative towards neither residents, nor staff. On 3/20/26, while R1 was eating in the facility dining room, R1 was asked by staff to move his chair closer to the table. R1 became frustrated and responded to staff by cursing, and telling staff "don't talk to me while I am eating". Staff stated to LPA that they were able to calm R1 and that R1 complied with staff's request.

LPA interviewed (6) out of fifty-five (55) residents, which revealed the following: Five (5) out of six (6) residents interviewed stated feeling comfortable eating in the dining room, and are satisfied with staff's level of supervision in ensuring resident safety; residents interviewed had no health/safety concerns.

Overall, LPA's investigation concludes that although there was an incident in the dining room involving R1 and a staff, there was not sufficient evidence to verify any physical altercation between residents. Therefore, based on interviews with staff and residents, the allegation is UNSUBSTANTIATED at this time.

Exit interview was conducted and a copy of report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

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