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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425850241
Report Date: 02/18/2026
Date Signed: 02/18/2026 02:33:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
02/12/2026 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20260212121521
FACILITY NAME:VILLA SANTA BARBARAFACILITY NUMBER:
425850241
ADMINISTRATOR:ROBERT GLOCKFACILITY TYPE:
740
ADDRESS:227 E. ANAPAMU STREETTELEPHONE:
(805) 963-4428
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:126CENSUS: 93DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Backup Administrator - Apple PelareTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee does not ensure that the facility is maintained in a sanitary condition.
INVESTIGATION FINDINGS:
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On February 18, 2026 at 11:00am Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced at the facility to investigate the allegation to this complaint. LPA met with Backup Administrator Apple Pelare and explained the purpose of the visit.

During the visit, LPA interviewed staff, residents, the Backup Administrator, Wellness Director TIna Tran, and obtained relevant documents.

On allegations, licensee does not ensure that the facility is maintained in a sanitary condition. The Department recieved photos of what appears to be a metal tray with two small round mounds of what is alleged to be mold and what appears to be a yellow leaf.

(Continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
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-20260212121521
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VILLA SANTA BARBARA
FACILITY NUMBER: 425850241
VISIT DATE: 02/18/2026
NARRATIVE
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LPA toured the facility with the Backup Administrator and Wellness Director finding no observable mold. LPA was able to locate where the alleged mold was at a beverage dispenser just inside the entry to the dining room. Both trays were clean with no mold. Staff interviews revealed this area and the trays are cleaned at least twice daily. Residents interviewed stated there are no issues with the cleanliness of the facility or their personal rooms.

Based on all interviews conducted and documents obtained, at this time the above allegation was found to be unsubstantiated.

Exit interview conducted, reports signed, report provided to Backup Administrator Apple Pelare.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2