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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425850204
Report Date: 02/04/2026
Date Signed: 02/04/2026 12:42:11 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/21/2025 and conducted by Evaluator Kristin Kontilis
COMPLAINT CONTROL NUMBER: 29-AS-20251021125447
FACILITY NAME:MISSION VILLAFACILITY NUMBER:
425850204
ADMINISTRATOR:EMILY A. GERRFACILITY TYPE:
740
ADDRESS:321 W MISSION STREETTELEPHONE:
(805) 898-2709
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:15CENSUS: 12DATE:
02/04/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Emily Gerr, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee financially abused a resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to issue final findings on the above-stated allegation. LPA met with Administrator Emily Gerr and explained the purpose of the visit. On 10/28/2025 from 10:23 am to 3:40 pm, LPA Kontilis conducted an initial complaint visit to obtain documents and conduct interviews.
On the allegation: Licensee financially abused a resident in care: It was alleged the licensee financially abused Resident 1 (R1), by removing money from their account and safety deposit box. LPA interviewed the reporting party, who stated the licensee had a preexisting friendship with R1 and the licensee became R1’s Power of Attorney (POA) in August 2023.
During today’s visit, Administrator confirmed the Licensee had a preexisting friendship with R1 and became their POA for medical and financial. Administrator confirmed Licensee helped care for R1 for approximately

Please continue to 9099-C, Pg 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026
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 29-AS-20251021125447
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: MISSION VILLA
FACILITY NUMBER: 425850204
VISIT DATE: 02/04/2026
NARRATIVE
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two years while R1 resided in a skilled nursing facility, and R1’s health declined. Records reviewed and interviews conducted revealed R1 moved into the facility in the evening of 3/16/2025, and R1 passed away in the early morning of 3/17/2025. Based on the information obtained during the investigation, the allegation is Unsubstantiated at this time.

Exit interview conducted. Copy of report issued at the time of the visit.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2