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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425801995
Report Date: 03/02/2026
Date Signed: 03/02/2026 02:33:16 PM

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
01/15/2026 and conducted by Evaluator Kristin Kontilis
COMPLAINT CONTROL NUMBER: 29-AS-20260115090140
FACILITY NAME:ALEXANDER GARDENSFACILITY NUMBER:
425801995
ADMINISTRATOR:LEICHTER, MITCHELLFACILITY TYPE:
740
ADDRESS:2120 SANTA BARBARA STTELEPHONE:
(805) 682-9644
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:36CENSUS: 24DATE:
03/02/2026
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Mitch Leichter, AdministratorTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff do not ensure resident is allowed to have visits from family or friends.
Staff do not allow resident to have access to a telephone.
Staff take away resident's personal belongings.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced subsequent complaint visit to issue final findings for the above stated complaint allegations.
Upon arrival, LPA Kontilis met with Administrator Mitch Leichter and explained the purpose of the visit. On 1/20/2026, LPA Kontilis conducted an initial complaint visit to obtain documents and conduct interviews from 12:10 pm to 2:45 pm,. On 2/3/2026, LPA conducted a subsequent complaint visit to conduct additional interviews from 11:40 am to 3:45 pm. On 2/11/2026, LPA conducted a subsequent complaint visit to conduct additional interviews from 10:48 am to 1:10 pm. LPA conducted additional interviews on 2/26/2026 and 2/27/2026.
On the allegation, Staff do not ensure resident is allowed to have visits from family or friends: It has been alleged that facility staff isolated and restricted Resident 1 (R1) from certain visitors and staff “turned away” certain visitors of R1. Records reviewed and interviews conducted revealed staff screened R1’s calls when

Please continue to 9099-C, Pg 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
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 5
Control Number 29-AS-20260115090140
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: ALEXANDER GARDENS
FACILITY NUMBER: 425801995
VISIT DATE: 03/02/2026
NARRATIVE
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certain people known to R1 tried to reach R1 via the facility’s landline telephone and the callers were toldthey needed to get the “okay” from a representative of R1. Interviews revealed and records reviewed indicated staff were provided a list of individuals who were not allowed contact with R1 physically and/or telephonically. Interviews and records reviewed further revealed that staff complied with the “no contact” directions, even after Long Term Care Ombudsman (LTCO) informed the Administrator of Resident’s Rights regarding visitations, telephonic contact, and taking residents on outings. Based on the interviews conducted and records reviewed, the allegation Staff do not ensure resident is allowed to have visits from family or friends is deemed Substantiated at this time.
On the allegation, Staff do not allow resident to have access to a telephone: It has been alleged that facility staff “removed” R1’s personal phone leaving R1 telephone access only through the facility’s landline telephone and only with the assistance of facility staff, and staff “blocked” certain callers from the facility phone. Interviews conducted revealed staff followed direction from R1’s Medical Power of Attorney (POA) to screen calls and to only allow certain individuals to talk to R1. Interviews conducted revealed staff diverted R1's calls when individuals called for R1, staff directed the callers to contact R1’s POA hence the calls were diverted from R1. Interviews conducted and records reviewed revealed R1’s personal mobile telephone was taken away by staff at the request of R1’s POA. Interviews conducted further revealed R1 was convinced their phone was broken and needed to be repaired. R1 stated they were at times challenged with the mobile device but did not want their phone to be taken away from them. R1 further stated they finally relinquished their phone thinking it was for repair and asked for it back after two days; but staff did not return their phone for at least one week. Based on interviews conducted the allegation that Staff do not allow resident to have access to a telephone has been deemed Substantiated at this time.

On the allegation, Staff take away resident’s personal belongings: It has been alleged that facility staff “removed” R1’s personal mobile telephone leaving R1 to only have telephone access through the facility landline and only with the assistance of staff. Interviews conducted and records reviewed revealed R1’s personal mobile telephone was taken away by staff at the request of R1’s POA. Interviews conducted further revealed R1 was convinced their phone was broken and needed to be repaired. R1 stated they were at times challenged with the mobile device but did not want their phone to be taken away from them. R1 further stated they finally relinquished their phone thinking it was for repair and asked for it back after two days; but staff did not return their phone for at least one week. Interviews conducted and records reviewed, staff admitted R1’s phone was taken away from R1 and placed in staff’s desk without R1’s knowledge. Interviews

Please continue to 9099-C, Pg 3

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 29-AS-20260115090140
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: ALEXANDER GARDENS
FACILITY NUMBER: 425801995
VISIT DATE: 03/02/2026
NARRATIVE
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conducted revealed staff stated R1 demonstrated signs of anxiety due to losing their phone and purse; reorganizes their closet and belongings several times a day; kept losing their phone wherein family said to take it away and they would come and get it; and R1 had eye issues and could not navigate the buttons causing R1 stress. Based on interviews conducted the allegation that Staff take away resident’s personal belongings is Substantiated at this time.

LPA provided Provider Information Notification (PIN) PIN 25-04-ASC Updated Authority of Conservators and Agents under Powers of Attorney Related to Residents’ Rights.

The following deficiencies were observed (see LIC 9099-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code.

Exit interview conducted. A copy of the report and appeal rights were issued at the time of the visit.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20260115090140
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: ALEXANDER GARDENS
FACILITY NUMBER: 425801995
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/02/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/04/2026
Section Cited
CCR
87468.1(a)(11)
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87468.1(a)(11) Residents...shall have all of the...personal rights: (11) To have their visitors...and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.
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Administrator agrees to use an outside vendor and/or the Department’s Technical Support Program to utilize their resources and provide training to Administrator and Staff. Administrator agrees to participate in the training along with Facility’s Managers/Directors. Administrator agrees to provide
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This requirement is not met as evidenced by:
Based on observation and interviews conducted, the licensee did not comply with the section cited above when staff did not allow R1's visitors without approval from others which poses an immediate health and safety risk to residents in care.
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written documentation of the date the training will be held, Managers/Directors who will be attending; who will be conducting the training, and description of the training. Administrator agrees to send information to LPA via email no later than due date.
Type B
03/06/2026
Section Cited
CCR
87468.1(a)(12)
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87468.1(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(12) …to keep and use their own personal possessions…
This requirement is not met as evidenced by:
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Administrator agrees to use an outside vendor and/or the Department’s Technical Support Program to utilize their resources and provide training to Administrator and Staff. Administrator agrees to participate in the training along with Facility’s Managers/Directors. Administrator agrees to provide
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Based on observation and interviews conducted the licensee did not comply with the section cited above when staff did not safeguard R1’s belongings when staff took R1’s mobile telephone which poses a potential personal rights risk to the clients in care.
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written documentation of the date the training will be held, Managers/Directors who will be attending; who will be conducting the training, and description of the training. Administrator agrees to send information to LPA via email no later than due date.
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: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20260115090140
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: ALEXANDER GARDENS
FACILITY NUMBER: 425801995
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/02/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2026
Section Cited
CCR
87468.1(a)(14)
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87468.1(a)(14) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (14) To have reasonable access to telephones, to both make and receive confidential calls...
This requirement is not met as evidenced by:
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Administrator agrees to use an outside vendor and/or the Department’s Technical Support Program to utilize their resources and provide training to Administrator and Staff. Administrator agrees to participate in the training along with Facility’s Managers/Directors. Administrator agrees to provide
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Based on observation and interviews conducted, the licensee did not comply with the section cited above when staff did not allow R1 to receive calls from others which poses a potential health and safety risk to residents in care.
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 written documentation of the date the training will be held, Managers/Directors who will be attending; who will be conducting the training, and description of the training. Administrator agrees to send information to LPA via email no later than due date.
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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: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5