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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610032
Report Date: 02/11/2026
Date Signed: 02/11/2026 02:09:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/03/2026 and conducted by Evaluator Angelica Segovia
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260203142838
FACILITY NAME:LEISURE GARDEN SENIOR ASSISTED LIVING FACILITYFACILITY NUMBER:
197610032
ADMINISTRATOR:CRYSTAL BARRIENTOSFACILITY TYPE:
740
ADDRESS:44523 15TH STREET WESTTELEPHONE:
(661) 941-4578
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:157CENSUS: 126DATE:
02/11/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Crystal Barrientos-AdministratorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Licensee does not ensure staff have the ability to adequately communicate with residents.
Staff does not ensure resident is receiving their medications as prescribed.
Staff do not allow resident to have private visits in their room.
INVESTIGATION FINDINGS:
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On 2/11/2026 at approximately 9:30 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced initial complaint visit to the facility. LPA was greeted by the Administrator, Crystal Barrientos and stated the reason for their visit.


To investigate the allegation(s), at approximately 09:30 AM, LPA conducted a physical plant tour. By 10:00 AM, LPA requested relevant documentation. From 10:00 AM to 02:00 PM, LPA conducted interviews with one (1) resident (R1), one (1) staff member (S1) and conducted record review.

(Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
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 3
Control Number 31-AS-20260203142838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY
FACILITY NUMBER: 197610032
VISIT DATE: 02/11/2026
NARRATIVE
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Regarding the allegation: Licensee does not ensure staff have the ability to adequately communicate with residents. It was alleged that staff cannot communicate with R1. To investigate the allegation, LPA conducted an interview with R1. LPA’s interview with R1 revealed that they can communicate with staff and that the staff are “great”. LPA’s interview with R1’s family member revealed they have never had any language barriers with the staff and have been able to communicate clearly in the English language. R1’s family member did disclose that another estranged member of the family could be unhappy or impatient when not given the information they inquired regarding R1 immediately upon their request.

Based on interviews, R1 denied the allegation of any language barriers between them and staff, therefore the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff does not ensure resident is receiving their medications as prescribed. It was alleged R1 was not receiving their medication as prescribed. To investigate the allegation, LPA conducted interviews with one (1) resident and one (1) staff member. LPA’s interview with R1 revealed the staff give them their medication. LPA’s interview with S1 revealed R1 was discharged from Hospice who controlled their prescribed medication and is in the process of being reevaluated by their new medical team to determine what medications are needed. LPA conducted a record review of R1’s medication. LPA’s review of R1’s Centrally Stored Medication and Destruction Record (CSDMR) along with their Medication Administrator Record (MARs) confirmed R1 has been given their medication as prescribed. Additional record review of R1’s Hospice file confirmed R1 was discharged from their services on 1/26/2026. During LPA’s visit, LPA observed R1 to have been visited by their medical team along with their family member to evaluate their medical needs.

Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

(Continue to LIC 9099-C)

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260203142838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY
FACILITY NUMBER: 197610032
VISIT DATE: 02/11/2026
NARRATIVE
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Regarding the allegation: Staff do not allow resident to have private visits in their room. It was alleged that staff have not allowed R1 to receive visitors in their bedroom. To investigate the allegation, LPA conducted an interview with one (1) resident and one (1) staff member. LPA’s interview with R1 revealed that they are allowed visitors in their bedroom and have had no issues. LPA’s interview with S1 confirmed that they encourage visitors to use their visitation room if possible but never deny visitations from occurring. S1 also stated that if it is a shared room, their roommate would have to consent to having visitors in their bedroom. LPA’s supplementary record review of California Code of Regulation, Title 22, Division 6: 87468.1 Personal Rights of Residents in All Facilities revealed the following: “Residents in all residential care facilities for the elderly shall have all of the following personal rights:…To have their visitors…, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon”.

Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No immediate health and safety issues observed during the day of the visit. Exit interview was conducted and a copy of this report was provided to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3