425850241-5-6-2026-29-AS-KBUY-DUGRCJ-20260527125424

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425850241
Report Date: 05/06/2026
Date Signed: 05/06/2026 04:11:05 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
04/27/2026 and conducted by Evaluator Kristin Kontilis

COMPLAINT CONTROL NUMBER: 29-AS-20260427163728

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:	05/06/2026
		UNANNOUNCED	TIME BEGAN:	09:34 AM
MET WITH:	Robert Glock, Administrator		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff did not assist resident with obtaining care in a timely manner.
Staff did not observe resident for a change in condition.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced subsequent complaint visit to deliver final findings for the above-stated allegations. During today’s visit, LPA met with Administrator Robert Glock and explained the purpose of the visit. LPA Kontilis conducted the initial visit on 5/5/2026 from approximately 11:30 am – 5:15 pm at which time LPA conducted interviews and obtained documents pertaining to the investigation. During today’s visit, Long Term Care Ombudsman Diane See participated in the investigation.
On the allegation, Staff did not assist resident with obtaining care in a timely manner: Reporting Party voiced concern that facility staff did not observe Resident 1’s (R1’s) change in condition when R1 developed a Urinary Tract Infection (UTI) and was not provided timely medical attention. Based on interviews conducted and records reviewed, R1 was found on the floor by R1’s visitor who alerted facility staff at which time, facility staff assisted R1 and called 9-1-1 for assistance. R1 was transferred to the local hospital and administered care therein. Interviews conducted revealed R1 stated they did not want to go to the hospital however,
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: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

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 29-AS-20260427163728

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: 05/06/2026

NARRATIVE

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facility staff insisted calling 9-1-1 is the proper protocol to ensure residents are provided timely medical attention. Interviews conducted and records reviewed revealed the facility failed to report R1’s transport to the hospital via the 9-1-1 call and will be addressed in a separate report. Based on interviews conducted and records reviewed, the allegation that Staff did not assist resident with obtaining care in a timely manner is Unsubstantiated at this time.
On the allegation, Staff did not observe resident for a change in condition: Reporting Party voiced concern that staff did not recognize a change in condition when Resident 1 (R1) developed a Urinary Tract Infection (UTI). Interviews conducted and records reviewed revealed R1 understands and maintains their medical conditions with assistance from family and personal advocates as well being responsible for their own medical decisions. Interviews conducted and records reviewed revealed R1 has personally contacted their Medical Doctor (MD) when medical issues arise. Interviews conducted and records reviewed revealed R1 contacted their MD when R1 developed a UTI and R1’s MD prescribed medications for treatment. Based on record review and interviews conducted, the allegation Staff did not observe resident for a change in condition is Unsubstantiated at this time.

Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

LIC9099 (FAS) - (06/04)

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