Inspection Reports for Maravilla
5486 Calle Real, Santa Barbara, CA 93111, United States, CA, 93111
Back to Facility ProfileInspection Report Summary
Most inspections found deficiencies related to resident safety, medication management, and staff background checks, with several complaint investigations being unsubstantiated. The most serious event occurred in February 2023 when a resident died after ingesting antifreeze that was not properly secured, resulting in a $500 fine and an immediate health and safety risk citation. Other notable issues included missed medication doses, elevator malfunctions posing safety risks, and agency staff mixing up residents in memory care. The most recent report from February 5, 2025, was incomplete but showed no deficiencies at that time. While some deficiencies remain, recent inspections suggest some improvement, and many complaints were found unsubstantiated.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
89% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 117
Capacity: 131
Deficiencies: 0
Date: Feb 5, 2025
Visit Reason
An unannounced annual inspection was conducted as a required one-year visit to evaluate the facility's compliance with regulations.
Findings
The inspection included a tour of the physical environment, review of resident files, and assessment of fire safety and sanitation. The facility was found to have proper postings, clean kitchen and dining areas, sufficient food supplies, and well-maintained fire extinguishers and elevators. Resident files contained all required documentation. The inspection was not completed due to time constraints and will continue at a later date.
Report Facts
Residents with dementia diagnosis: 21
Residents on hospice: 18
Residents on oxygen: 7
Hospice waiver capacity: 20
Fire extinguisher last serviced: Dec 9, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth E Grande | Administrator | Participated in the inspection |
| Anna Munoz | Director of Assisted Living | Greeted Licensing Program Analyst and participated in inspection |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 131
Deficiencies: 0
Date: Sep 25, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not safeguard a resident's personal belongings, specifically missing jewelry and cash from Resident 1's room while they were hospitalized.
Complaint Details
The complaint alleged that staff did not safeguard Resident 1's personal belongings, including 11 pieces of jewelry and approximately $400 in cash missing from their room during a hospital stay from 6/21/2024 to 7/5/2024. The investigation included interviews with staff, residents, and the private caregiver, who reported multiple instances of items being moved in the room. Another resident reportedly lost $100 around the same time. One staff member was noted to have been sleeping in Resident 1's room during a shift and made an inappropriate comment about the missing items. Despite these findings, there was insufficient evidence to substantiate the allegation against facility staff.
Findings
The investigation found insufficient evidence to prove who took the missing jewelry or where it went, and there was no evidence implicating facility staff. The allegation was deemed unsubstantiated at this time. Law enforcement was contacted but no charges were made.
Report Facts
Capacity: 131
Census: 121
Missing jewelry items: 11
Missing cash amount: 400
Missing cash amount: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ruth Grande | Executive Director | Facility administrator met during the investigation and provided information |
Inspection Report
Census: 121
Capacity: 131
Deficiencies: 1
Date: Sep 25, 2024
Visit Reason
A case management - deficiencies visit was conducted to reissue a report originally provided due to a technical glitch.
Findings
A deficiency was found where a background check for a private caregiver for Resident 1 had not been completed, posing an immediate risk to residents in care. The administrator had already provided documents on the original citation and the plan of correction was cleared.
Deficiencies (1)
Background check for private caregiver (PC1) for Resident 1 (R1) has not been completed, posing an immediate risk to residents in care.
Report Facts
Capacity: 131
Census: 121
Plan of Correction Due Date: Sep 27, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the case management - deficiencies visit and authored the report |
| Kelly Burley | Licensing Program Manager | Supervisor overseeing the inspection |
| Ruth Grande | Executive Director | Facility administrator met during the inspection |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 131
Deficiencies: 1
Date: Jun 7, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff did not assist a resident to the correct room and that the facility did not have adequate staff to meet residents' needs.
Complaint Details
The complaint was substantiated regarding staff mixing up residents, confirmed by interviews and document review. The staffing adequacy allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation substantiated that agency staff mixed up two male residents in the memory care unit, failing to follow transferring policies, posing a potential health and safety risk. The agency staff involved was barred from working in the facility. The allegation regarding inadequate staffing was unsubstantiated due to insufficient evidence, though technical assistance was provided to adjust staffing ratios based on resident needs.
Deficiencies (1)
Agency staff lacked competency in mixing up two residents, violating residents' rights to care and supervision meeting their individual needs.
Report Facts
Residents in memory care: 16
Residents requiring two-person assist: 8
Caregivers on duty: 2
Med techs on duty: 1
Caregivers on duty: 3
Med techs on duty: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erika Miller | Licensing Program Analyst | Conducted the complaint investigation and issued final findings |
| Kelly Burley | Licensing Program Manager | Oversaw the complaint investigation and signed the report |
| Ruth Grande | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 107
Capacity: 131
Deficiencies: 1
Date: Feb 7, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with regulations at the Maravilla Residential Care Facility for the Elderly.
Findings
The inspection included a tour of the facility, review of resident activities, and assessment of fire safety equipment. A medication discrepancy was found involving an unexplainable overcount of a resident's medication, posing an immediate health and safety risk.
Deficiencies (1)
Unexplainable overcount of Resident 1's Metropolol XL 100mg medication, indicating noncompliance with physician's medication administration orders.
Report Facts
Residents with dementia diagnosis: 20
Residents on hospice: 18
Residents on oxygen: 10
Bedridden residents: 3
Medication bottle count: 125
Initial medication bottle count: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Participated in the inspection and involved in plan of correction |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kelly Burley | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 131
Deficiencies: 0
Date: Oct 10, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 07/09/2021 concerning rough handling, verbal abuse, lack of dignity, unmet resident needs, and failure to safeguard resident belongings at the facility.
Complaint Details
The complaint included allegations of rough handling of residents, verbal abuse by staff, failure to accord residents dignity, unmet resident needs, and failure to safeguard resident belongings. The investigation was unannounced and conducted by Licensing Program Analyst Brian Phillips. The allegations were found unsubstantiated based on interviews with residents and staff, record reviews, and observations.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Interviews, observations, record reviews, and documentation including call button logs and medical records showed no evidence of rough handling, verbal abuse, neglect, or theft. All allegations were deemed unsubstantiated.
Report Facts
Capacity: 131
Census: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Phillips | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Christina Martinez | Licensed Vocational Nurse | Met with the Licensing Program Analyst during the visit as the Administrator was not available |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 131
Deficiencies: 0
Date: Sep 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following multiple allegations including failure to meet residents' incontinence needs, resident injury, lack of communication with authorized representatives, medication errors, and insufficient staffing.
Complaint Details
The complaint investigation was triggered by allegations that included unmet incontinence needs, resident injury, poor communication with authorized representatives, medication errors, and insufficient staffing. After interviews, observations, and record reviews, all allegations were deemed unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staff responded timely to call buttons, no resident injuries were confirmed, communication with authorized representatives was documented, medications were administered correctly, and staffing levels were adequate.
Report Facts
Capacity: 131
Census: 91
Visit start time: 900
Visit end time: 1130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Phillips | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Hernandez | Licensed Vocational Nurse (LVN) | Met with the investigator during the visit |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Ruth E Grande | Administrator | Facility Administrator mentioned in the report |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 131
Deficiencies: 1
Date: Feb 15, 2023
Visit Reason
An unannounced complaint investigation was conducted based on an allegation that the facility is in disrepair, specifically concerning inoperable elevators.
Complaint Details
The complaint was substantiated. Interviews revealed Resident 1 was detained on a separate floor for approximately 2 hours due to elevator malfunctions. Elevators #1 and #2 were out of order on 1/18/2023, 2/10/2023, 2/11/2023, 2/13/2023, and 2/14/2023. The elevators were repaired by the end of the visit but require modernization.
Findings
The investigation found that both elevators in Assisted Living were not working properly on multiple dates, posing a potential health and safety risk to residents. At the end of the visit, the elevators were repaired but were noted to need modernization to avoid further repairs.
Deficiencies (1)
87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of Residents, employees and visitors. This requirement is not met as evidenced by elevators being out of order on multiple dates, posing a potential health and safety risk.
Report Facts
Facility Capacity: 131
Census: 115
Deficiency Due Date: Feb 22, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation |
| Mark Jeffries | Licensing Program Analyst | Conducted the complaint investigation |
| Ruth Grande | Administrator | Facility administrator involved in investigation and findings |
| Luis Martinez | Maintenance Director | Facility maintenance director involved in investigation and findings |
| Kelly Burley | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 131
Deficiencies: 1
Date: Feb 15, 2023
Visit Reason
The visit was a Case Management - Deficiencies inspection to issue final findings and citations related to a previous case management visit triggered by the death of Resident #1 on 11/26/2021.
Complaint Details
The allegation of Questionable Death was substantiated based on the investigation. A $500 immediate civil penalty was assessed, with potential for additional penalties.
Findings
The investigation found that Resident #1 ingested antifreeze that was not properly secured by staff, leading to the resident's death by Ethylene Glycol ingestion, ruled as suicide. Multiple staff were aware of the antifreeze but failed to notify management or remove it, posing an immediate health and safety risk.
Deficiencies (1)
Failure to store toxic substances, including antifreeze, inaccessible to residents with dementia, resulting in Resident #1 ingesting antifreeze causing death and posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500
Census: 115
Total capacity: 131
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Met with Licensing Program Analysts during the visit and informed of penalties. |
| Mark Jeffries | Licensing Program Analyst | Conducted the Case Management - Deficiencies visit and investigation. |
| Kristin Kontilis | Licensing Program Analyst | Conducted the Case Management - Deficiencies visit and investigation. |
| Kelly Burley | Licensing Program Manager | Supervised the investigation and signed the report. |
| Robert Kujawa | Investigator | Conducted interviews and reviewed evidence during the investigation. |
Inspection Report
Annual Inspection
Census: 115
Capacity: 131
Deficiencies: 0
Date: Feb 15, 2023
Visit Reason
An unannounced one-year Infection Control Inspection visit was conducted as a required annual inspection of the facility.
Findings
The facility was found to be following infection control protocols, maintaining cleanliness, proper PPE supplies, and appropriate staff training. The physical environment and accommodations were assessed and found compliant with required postings and safety measures.
Report Facts
Residents with dementia diagnosis: 15
Residents on hospice: 17
Bedridden residents: 7
Hospice waiver capacity: 20
PPE supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Participated in the inspection |
| Luis Martinez | Maintenance Director | Participated in the inspection |
| Mariana Pelayo | Regional Nurse | Participated in the inspection |
| Mark Jeffries | Licensing Program Analyst | Conducted the inspection |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
| Kelly Burley | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 131
Deficiencies: 1
Date: Feb 15, 2023
Visit Reason
An unannounced Case Management – Incident visit was conducted to address a self-reported incident regarding medication administration reported to Community Care Licensing on 2023-01-19.
Complaint Details
The visit was complaint-related, triggered by a self-reported incident involving missed medication doses for a resident. The incident was substantiated by records review.
Findings
The facility failed to administer prescribed medication (Seroquel) to a resident on three consecutive days due to the medication being misplaced in the overflow cart. Staff did not follow physician's orders, posing an immediate health and safety risk to residents.
Deficiencies (1)
Failure to follow physician's orders for medication administration, resulting in missed doses and posing an immediate health and safety risk to residents.
Report Facts
Census: 115
Total Capacity: 131
Deficiency Count: 1
Medication Dosage: 25
Missed Medication Dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth E Grande | Administrator | Met with Licensing Program Analysts during the visit and responsible for submitting training information |
| Mark Jeffries | Licensing Program Analyst | Conducted the unannounced Case Management – Incident visit |
| Kristin Kontilis | Licensing Program Analyst | Conducted the unannounced Case Management – Incident visit and Licensing Evaluator |
| Kelly Burley | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
Inspection Report
Follow-Up
Census: 115
Capacity: 131
Deficiencies: 2
Date: Feb 15, 2023
Visit Reason
The visit was a Case Management follow-up conducted to address deficiencies noted during a complaint investigation visit on 02/15/2023 related to hospice notification and reporting requirements.
Complaint Details
The visit was conducted to address deficiencies noted during Complaint Control #29-AS-20230210144006 investigation visit on 02/15/2023.
Findings
The facility failed to notify the Department in writing within five working days of the initiation of hospice care for a resident and did not submit a Serious Illness/Serious Injury report within seven days for another resident's change of condition, posing potential health and safety risks.
Deficiencies (2)
Failure to notify the Department in writing within five working days of the initiation of hospice care services for a terminally ill resident.
Failure to submit a Serious Illness/Serious Injury report within seven days of the occurrence of a resident's change of condition.
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: Feb 22, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Met with Licensing Program Analysts during the visit |
| Kristin Kontilis | Licensing Program Analyst | Conducted the Case Management visit and signed the report |
| Mark Jeffries | Licensing Program Analyst | Conducted the Case Management visit |
| Kelly Burley | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Complaint Investigation
Capacity: 131
Deficiencies: 0
Date: Jul 13, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to address allegations that staff did not respond timely to a resident's call button and did not seek timely medical attention for a resident.
Complaint Details
The complaint was investigated and found to be unfounded because the resident in question does not reside in the licensed portion of the facility. The allegation was determined to be false or without reasonable basis.
Findings
The investigation determined that the resident involved does not reside in the licensed Assisted Living or Memory Care portions of the facility but in the Independent Living section, which is not licensed by the Community Care Licensing Division. Therefore, the allegations were deemed unfounded.
Report Facts
Facility capacity: 131
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation visit |
| Ruth Grande | Administrator | Met with Licensing Program Analyst during the investigation |
| Kelly Burley | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 131
Deficiencies: 0
Date: Mar 4, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations including failure to communicate changes in resident functionality, improper following of care plans, delayed response to call buttons, language barriers, and understaffing.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to communicate changes to resident's authorized representative and physician, improper care plan adherence, untimely call button response, language barriers, and understaffing. Each allegation was investigated and found unsubstantiated based on documentation and interviews.
Findings
The investigation found all allegations to be unsubstantiated based on reviews of resident records, staff and resident interviews, and staff schedules. Communication with resident representatives and physicians was documented, care plans were followed with some accommodations, call button response times were adequate, staff spoke English, and staffing levels were sufficient to meet residents' needs.
Report Facts
Capacity: 131
Census: 90
Staff counts: 5
Staff counts: 6
Staff counts: 2
Staff counts: 1
Staff counts: 4
Staff counts: 5
Staff counts: 2
Staff counts: 1
Staff counts: 2
Staff counts: 1
Call button response time: 7
Call button response time: 10
Status checks: 4
Showers per week: 3
Private duty caregiver days: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Toan Luong | Licensing Program Analyst | Conducted complaint investigation visit and authored report |
| Kristin Kontilis | Licensing Program Analyst | Initiated complaint investigation and conducted interviews and visits |
| Lyndia Sager | Licensing Program Analyst | Conducted interviews including with former Assisted Living Director |
| Christine Cortez | Former Assisted Living Director | Interviewed during investigation |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Annual Inspection
Census: 93
Capacity: 131
Deficiencies: 2
Date: Feb 24, 2022
Visit Reason
An unannounced One Year Infection Control Annual visit was conducted to assess compliance with infection control and other regulatory requirements.
Findings
Two deficiencies were found: two individuals were scheduled to work without a Criminal Record Clearance, and cleaning supplies were stored in an unlocked cabinet accessible to residents with dementia. Both deficiencies posed immediate health and safety risks and resulted in citations and a civil penalty.
Deficiencies (2)
Two individuals working at the facility without a Criminal Record Clearance.
Cleaning supplies stored in an unlocked cabinet accessible to residents with dementia.
Report Facts
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Met with Licensing Program Analyst during inspection and involved in addressing deficiencies. |
| Mariana Pelayo | Regional Nurse | Met with Licensing Program Analyst during inspection. |
| Toan Luong | Licensing Program Analyst | Conducted the inspection and issued citations. |
| Kelly Burley | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 131
Deficiencies: 0
Date: Dec 30, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility illegally evicted a resident and staff did not provide adequate care and supervision to a resident in care.
Complaint Details
The complaint investigation was initiated due to allegations of illegal eviction and inadequate care. The investigation included interviews with the administrator, witnesses, and review of relevant documents. The findings concluded the allegations were unsubstantiated.
Findings
The investigation found insufficient evidence to support the allegations. The resident's behavior required one-on-one care which the Power of Attorney initially agreed to provide but later refused. The resident was not evicted by the facility but moved out voluntarily. The allegations were deemed unsubstantiated.
Report Facts
Capacity: 131
Census: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Grande | Administrator | Met with Licensing Program Analyst during investigation and involved in findings |
| Arien Diaz | Licensing Program Analyst | Conducted unannounced complaint visit and investigation |
| Kristin Kontilis | Licensing Program Analyst | Initiated complaint investigation and conducted telephone interviews |
| Lyndia Sager | Licensing Program Analyst | Conducted interviews and requested additional documents during investigation |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 131
Deficiencies: 1
Date: Nov 30, 2021
Visit Reason
The visit was a case management investigation triggered by an email from the administrator reporting the death of a resident in care on 11/26/2021.
Complaint Details
The visit was complaint-related due to the reported death of a resident. The death was referred to the Community Care Licensing Investigation Branch for further investigation.
Findings
A deficiency was cited for failure to comply with regulations regarding staff transfer association, posing an immediate risk to residents. The death of the resident was referred to the Community Care Licensing Investigation Branch for further investigation.
Deficiencies (1)
Failure to request a transfer of a criminal record clearance as specified, resulting in a staff member working without a transfer association which poses an immediate risk to residents in care.
Report Facts
Capacity: 131
Census: 91
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christina Martinez | Director of Enliven Memory Care, LVN | Met with Licensing Program Analysts during the visit and interviewed regarding the resident's death |
| Ruth E Grande | Administrator | Reported the resident's death and participated in the visit |
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