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Inspection visit

Follow-up on corrections

ALEXANDER GARDENSLicense 4258019951 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kristin Kontilis conducted a case management visit to address a deficiency discovered during the investigation of Complaint #29-AS-20260218172426. LPA met with Executive Associate Director and Administrator Mitch Leichter on 2/25/2026 from approximately 12:20 pm to 4:15 pm. Long Term Care Ombudsman (LTCO) Diane See accompanied LPA during the visit. LPA conducted interviews with staff and obtained documents pertaining to the investigation. During the complaint investigation, it was determined that Resident 1 (R1) had eloped from the facility without supervision and the incident was not reported to Community Care Licensing Division (CCLD) as an unusual incident/injury report as required per California Code of Regulations (CCR). The following deficiency was observed (see LIC 809-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.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)(1)(D)Type A

    (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events…(D) Any incident which threatens the welfare, safety or health of any resident…This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the licensee did not comply with the section cited above when a resident eloped from the facility and it was not reported to CCLD within seven (7) days of the occurrence which poses an immediate health and safety risk to residents in care.

  • 87468.2(a)(4)Type A

    Right to sufficient care and qualified staff

    87468.2(a)(4)… residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by:Based on interviews conducted and records reviewed, the licensee did not comply with the section cited above when Resident 1 (R1) eloped from the facility alone and without supervision which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 2, 2026 inspection of ALEXANDER GARDENS?

This was an other inspection of ALEXANDER GARDENS on March 2, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ALEXANDER GARDENS on March 2, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within se..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.