425850241-5-6-2026-29-AS-KBUY-DUHRFH-20260528125909

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425850241
Report Date: 05/05/2026
Date Signed: 05/06/2026 08:39:00 AM

Substantiated

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
03/23/2026 and conducted by Evaluator Rachael De Leon

COMPLAINT CONTROL NUMBER: 29-AS-20260323223249

FACILITY NAME:	VILLA SANTA BARBARA		FACILITY NUMBER:	425850241
ADMINISTRATOR:	ROBERT GLOCK		FACILITY TYPE:	740
ADDRESS:	227 E. ANAPAMU STREET		TELEPHONE:	(805) 963-4428
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93101
CAPACITY:	126	CENSUS: 92	DATE:	05/05/2026
		UNANNOUNCED	TIME BEGAN:	03:55 PM
MET WITH:	Robert "Bob" Glock		TIME COMPLETED:	05:40 PM

ALLEGATION(S):

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Staff is stealing medication from a resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility above. LPA met with Robert “Bob” Glock and explained the purpose of the visit.

LPA De Leon conducted the initial 10-day visit on 03/24/2026, requested records, conducted interviews with Administrator at 2:40pm, Staff at 5:45pm and audited the Medication cart for R1’s medications. LPA De Leon interviewed additional staff on 04/03/2026 at 4:08pm and 5:29pm, on 04/06/26 at 2:43pm, on 04/29/26 at 3:10pm and on 04/30/26 at 1:50pm, 2:29pm, and 2:41pm.

On the allegation: Staff is stealing medication from a resident in care. Based on observation from LPA
De Leon auditing the Medication cart for Resident 1’s (R1’s) medications, R1’s cycle medication was audited first. The bubble packs appeared to have the correct count of medication used for March 23, 2026.
Continued 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026

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 4

Control Number 29-AS-20260323223249

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: VILLA SANTA BARBARA	FACILITY NUMBER: 425850241
	VISIT DATE: 05/05/2026

NARRATIVE

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LPA asked to audit R1’s double locked Narcotics next. Staff opened the Narcotics and LPA was unable to find the order of bubble pack PRN medication for R1’s Hydrocodone. According to records the pharmacy had delivered R1’s medication to the facility on 03/13/2026 at 1:12am and the NOC shift Staff 1 (S1) at the front desk signed for the delivery. The medication was never logged by the medication technician (Med-Tech) after delivery of the medication. The records for R1’s delivery on 03/13/2026 medications were never logged into medication room. R1’s medication Hydrocodone appeared to be missing or stolen as it could not be found in the facility after being delivered and was never input into R1’s records. The facility did report to local Law Enforcement, and a case number was assigned for the missing narcotics.

LPA reviewed records for R1’s medications, filled orders and delivered medications. R1’s last medication was delivered by the pharmacy to the facility on 03/13/2026 at 1:12am and Staff 1 (S1) signed for the delivery of a 60 count of bubble packed Hydrocodone PRN medication. R1’s Medication Administration Records (MAR’s) were reviewed from May 2025 through March of 2026. The facility started using a new automated online system for residents’ medication records around summer of 2025. The Wellness Department started using written paper forms to account for the Narcotics usage as they were transitioning to the new system. LPA reviewed all R1's automated online medication records, and all the paper records provided by the facility. LPA discovered that no paper record could be found for October 2025 for the usage of R1’s Narcotic Hydrocodone 60 count of pills. The facility did get the medication based on delivery records and it was input in the automated records of being received. LPA audited records and found that the delivery from October 2025 60 count of Hydrocodone for R1 had records for 25 pills being used by R1 and 35 pills were not accounted for based on those records.R1 ran out of the October Hydrocodone 60 pills count some time in February of 2026 and at that time a new order was delivered on 03/13/2026 for another 60-pill count. A staff interview revealed that R1 had asked for the medication in mid to late February 2026 and the medication had ran out and staff was not sure why it had not been received. Another staff member stated that it had been ordered but the pharmacy needed a new refill from R1’s doctor before the pharmacy would refill the medication, the pharmacy received the new order from the doctor on 03/12/2026 and filled the order and delivered on 03/13/2026.
Continued 9099-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260323223249

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: VILLA SANTA BARBARA	FACILITY NUMBER: 425850241
	VISIT DATE: 05/05/2026

NARRATIVE

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Staff did not have an explanation for why R1 had been out of medication for so long and why the medication was not followed up on for refill. In total the facility could not account for 95 of R1’s Hydrocodone medication after LPA’s audit. 60 of the pills were not found and disappeared after delivery and 35 were not documented as given to R1 during that time of transition due to the lost paper record for October 2026.

Staff interviews revealed the process of receiving medications was that the pharmacy Omnicare delivered to the facility front desk and the concierge staff would sign for it, then notify the Med-Techs the medication was in and needed to be picked up. Med-Tech staff said medication did not sit for very long at the front desk before it was picked up and processed into the medication system for the residents as they were instructed to pick it up timely. A few staff said the facility has changed the process since LPA’s visit and now the front desk concierge calls the med-tech on duty to come down and sign for the delivery of medications from Omnicare, staff use the delivery inventory sheet to count and then sign directly with the Omnicare delivery service, then the Med-tech’s will take the medications directly to the Wellness Department for logging and locking.
Based on the evidence of R1’s missing, stolen or unaccounted for medication this allegation is Substantiated at this time.

Exit interview conducted, deficiency cited, copy of report and appeal rights printed for Administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260323223249

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: VILLA SANTA BARBARA	FACILITY NUMBER: 425850241
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/05/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/07/2026 Section Cited CCR 87465(h)(2)	1 2 3 4 5 6 7	(h)... (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Administrator agreed to put a new process in place immediately for handling medications and will train all Wellness staff in mandated reporting, SOC 341 abuse reporting, and all med-tech staff on facility policy procedures for handling medications and train in regulation 87465, provide material used and proof of all staff signatures with an up to date LIC 500 for staffing.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026

LIC9099 (FAS) - (06/04)

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