Santa Barbara Memory Care

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility did not issue a refund to resident.

At 3:30pm on 08/27/2025, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to deliver the final findings to this complaint. LPA met with, Wellness Director, Cielo Valladares, announced who he is and the reason for the visit. LPA received verbal authorization from Administrator via telephone call to have Wellness Director, Cielo Valladares review and sign complaint findings report. As to the allegation, “Facility did not issue a refund to resident.” It was alleged that, “the facility was taking about three weeks to cash the resident's checks and then were placing late fees…” the facility was processing checks late when recived on time, when they were mailed and followed up with phone call confirmation. It was discovered through interviews and documentation that on 05/15/2025, Licensing Program Analyst (LPA) Jeffries conducted an interview with Family Member 1 (F1) who stated that they had sent a check for Resident 1 (R1) every month from out of state prior tothe state’s words, verbatim · CDSS document, Aug 27, 2025 · control 29-AS-20250219113025

Allegation investigated: Staff are mismanaging residents medication.

At 11:30am on 06/25/25, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the initial investigation to the allegation to this complaint. LPA met with,Adminsitrator, Lisa Gerr, announced who he is and the reason for the visit. LPA conducted interviews, requested and reviewed documentation. Based on documentation and interviews, LPA was able to make a determination a final finding on the allegation to this complaint as follows: As to the allegation of, "Staff are mismanaging residents medications." It was alleged that, Resident 1 (R1) was hospitalized on 05/01/25 and subsequently did not return as a resident to this facility on that day. The evening of 05/01/25, R1's medications were provided to Witness 1 (W1), R1's responsible party, with the medication Olanzapine 2.5mg missing, according to W1. It was discovered through interview on 06/23/2025, LPA Jeffries interviewed W1 who stated, "the facility Administrator (Lisa Gerr) brought the medications tthe state’s words, verbatim · CDSS document, Jun 25, 2025 · control 29-AS-20250618090543

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure that residents are provided activities while in care. Staff do not adhere to resident's special diet as prescribed. Staff do not ensure that resident is provided their medication(s) as prescribed.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to deliver final findings for the above allegation. LPA Philips started the investigation on 3/6/2024 from 1:30pm to 3:30pm. During today’s visit, LPA Rankin met with Cynthia Garcia, administrator, and Elizabeth Hernandez, Designee, explained the reason for the visit. LPA toured the facility, reviewed relevant documents, and interviewed administrator, staff, and residents. On the allegation: Staff do not ensure that residents are provided activities while in care. It was alleged that activities were not provided. However, reporting party also stated activities are provided, but they thought the activities could be improved. On 3/6/2024, LPA observed activities available for residents including board games, puzzles and reading materials in the common room. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20240227112010

Allegation investigated: Due to neglect, Resident became septic while in care

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to deliver final findings for the above allegation. The initial visit was conducted on 06/17/2022 by LPA Kristin Kontilis. During today’s visit, LPA Rankin met with Cynthia Garcia, Administrator, and explained the reason for the visit. On the allegation: Due to neglect, Resident became septic while in care. On 06/16/2022, the Department received a complaint alleging that former facility Resident #1 (R1) became septic while residing at the facility as a result of facility neglect. On 06/17/2022, between 1:10pm and 4:00pm, LPA Kontilis conducted the initial complaint visit. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20220616085421

Allegation investigated: Due to neglect, Resident was dehydrated Due to neglect, Resident suffered a fall while in care Resident was vaccinated without consent Facility did not notice a change in resident’s condition Facility not allowing resident to communicate with family members

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to deliver final findings for the above allegation. The initial visit was conducted on 06/17/2022 by LPA Kristin Kontilis. During today’s visit, LPA Rankin met with Administrator Cynthia Garcia and explained the reason for the visit. On the allegation: Due to neglect, Resident was dehydrated. It was alleged R1 was diagnosed with dehydration. Staff interviewed stated one of the med tech’s job duties is to track resident’s bowel movements. Staff stated if a resident does not have a bowel movement for two days, then stool softeners may be provided with a doctor’s order. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20220616085421

Allegation investigated: Staff did not notice a change in resident’s condition. Staff did not assist resident in care with their hygiene needs. Staff did not administer medication(s) to resident according to physician's instructions. Staff did not feed resident while in care. Facility did not have enough staff to meet the needs of resident(s) in care. Staff did not respond to resident's representatives requests for assistance. Staff did not notify resident's representative about resident's change in condition.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Cynthia Garcia Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted the initial visit on 11/14/22, obtained relevant documents, and interviewed staff. On the allegations: Staff did not notice a change in resident’s condition, Staff did not respond to resident's representatives requests for assistance, and Staff did not notify resident's representative about resident's change in condition. R1’s family member (F1) stated R1’s hospice social worker indicated they found a less expensive facility for R1, but did not state this was a facility for people who were at the end of life. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20221104125523

Allegation investigated: Staff did not provide resident's responsible party with records after requested. Staff did not allow visitor(s) into the facility in a timely manner.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Cynthia Garcia, Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted the initial visit on 11/14/22, obtained relevant documents, and interviewed staff; R1’s family member was also interviewed. On the allegation: Staff did not provide resident's responsible party with records after requested. R1’s family member (F1) stated they requested a copy of R1’s chart in October 2020, and August 3 (year not specified). Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20221104125523

Allegation investigated: Staff did not ensure a safe environment for residents in care. Staff did not ensure a sanitary environment for residents in care. Staff did not ensure that residents were provided with clean linens while in care.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to deliver final findings for the above allegation. The initial visit was conducted on 12/5/2022 by LPA Kristin Kontilis. During the investigation, LPA toured the facility and interviewed staff. LPA also collected and reviewed relevant documents. During today’s visit, LPA Rankin met with Cynthia Garcia and explained the reason for the visit. On 11/26/2022, facility staff called first responders for assistance due to a resident falling. Multiple first responder agencies visited the facility as a result of this incident. Multiple patients were taken to hospital due to concerns for their health and safety. On the allegations: Staff did not ensure a safe environment for residents in care, and Staff did not ensure a sanitary environment for residents in care. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20221201151546

Allegation investigated: Staff mismanaging residents medication. Facility toilet is in disrepair. Facility is dirty. Staff engaged in a verbal altercation in presence of residents.

Licensing Program Analyst (LPA) Rankin conducted an initial complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Rankin met with Cynthia Garcia, administrator, and Elizabeth Hernandez, Designee, explained the reason for the visit. LPA toured the facility, reviewed relevant documents, and interviewed administrator, staff, and residents. On the allegation: Staff mismanaging residents medication. It was alleged that a med tech was signing off that they provided medications without having provided them. LPA interviewed administrator about the allegation. Administrator stated the Memory Care Director brought up the issue and they had a meeting with all med techs to discuss it. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 29-AS-20240604085405

Allegation investigated: Facility did not give a refund to a prospective residents after deciding not to move in.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Esmerlda Perez, Medical Technician and explained the purpose of the visit. During the investigation, LPA Olson conducted the initial visit on 6/29/23, and interviewed staff and residents from 2:20pm to 4:45pm. LPA also obtained relevant documentation. On the allegation: Facility did not give a refund to a prospective residents after deciding not to move in. It was alleged that two residents had planned to move in and paid a pre- admission fee. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Jun 3, 2024 · control 29-AS-20230628132443

Allegation investigated: Facility doesn’t have an administrator. Staff are not providing adequate care and supervision.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Cynthia Garcia and explained the purpose of the visit. During the investigation, LPA Kontilis conducted the initial visit on 12/18/23, and obtained relevant documentation. LPA conducted interviews with responsible parties on 12/13/2023, 12/15/23, 1/29/24, and 2/27/24. On the allegation: Facility doesn’t have an administrator. It was alleged the facility does not have a certified administrator. LPA reviewed facility records. On 10/11/2023, CCL received documents to name Regional Director of Operations Tierre Thorton as Administrator of the facility. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, May 6, 2024 · control 29-AS-20231212163454

Allegation investigated: Facility staff did not follow infection control procedures. Facility did not provide residents basic supplies. Facility is not clean. Facility is in disrepair.

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with ______ and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 9/11/2023, toured the facility, interviewed staff from 10:40am to 4:00pm, and obtained documents. LPA conducted additional visits on 9/12/2023 from 12:30pm to 6:30pm and 9/18/2023 from 10:55am to 11:40am. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, May 6, 2024 · control 29-AS-20230905123221

Allegation investigated: Resident sustained injuries while in care

Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Cynthia Garcia and explained the purpose of the visit. During the investigation, LPA Olson conducted the initial visit on 6/29/23, and interviewed staff and residents from 2:20pm to 4:45pm. LPA also obtained relevant documentation. On the allegation: Resident sustained injury while in care. It was alleged that on 6/20/2023, Resident 1 (R1) was observed to have bruises on their hand/arm. It was alleged that staff indicated R1 sustained the injury while being “violent” towards staff. It was also alleged that the Administrator at the time indicated the injury was the result of a fall. Continued on 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 6, 2024 · control 29-AS-20230623160720

Allegation investigated: Staff do not ensure residents receive mail correspondence in a timely manner

On 03/06/2024, Licensing Program Analyst (LPA) Brian Phillips arrived at the facility above to conduct a Subsequent Complaint Investigation Visit and Deliver Final Findings. LPA met with Business Office Director Cynthia Garcia and Medication Technician Anais Ochoa and explained the purpose of the visit. On the allegation: Staff do not ensure residents receive mail correspondence in a timely manner. It is alleged that from 02/16/2024 through 02/20/2024, postal mail has been unable to be retrieved for Resident #1 (R1). The allegation states that the Responsible Party for R1 has attempted each day to get the mail with either no staff available or Staff not having a key to the mailbox/Staff Office where a mailbox key is kept. It is also alleged that none of the residents have been receiving the mail since 02/16/2024. On 02/26/2024, LPA requested documents pertaining to the investigation, conducted observations of the pertinent areas of the facility, and interviewed both Residents and Staffthe state’s words, verbatim · CDSS document, Mar 6, 2024 · control 29-AS-20240220152049

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Due to a lack of staffing, staff are not answering the facility phone. Staff did not notify authorized representative of incident with resident.

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced subsequent visit to address the above-stated allegations. LPA met with Anais Ochoa, Medication Technician and explained the purpose of the visit. At the time of arrival, there were fourteen residents in care with two staff on duty. On the allegation, due to lack of staffing, staff are not answering the facility telephone: Reporting Party (RP) stated RP has placed numerous unanswered calls to the facility’s main line and has not been able to leave a message or speak with facility representatives. On 8/23/2023 one call was placed to the facility unanswered. On 8/24/2023, four calls were made to the facility. One call was answered and RP had a conversation with a facility representative. However, after the conversation, RP called back two more times, but the calls were not answered and no voicemail option was available. On 8/25/2023, RP stated two unanswered calls were placed to the facility. Also, on 8/25/2023, RPthe state’s words, verbatim · CDSS document, Jan 24, 2024 · control 29-AS-20240117104513

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.