ALL STAR LIVING INC

Official classification

Type A

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

The administrator shall have the knowledge of and ability to conform to applicable laws, rules and regulations. If the licensee is also the administrator, all requirements for an administrator shall apply… This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, and interview, the Administrator did not comply with the section cited above in one(1) out of (1) non-ambulatory persons were admitted, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/27/2026 Plan of Correction The Administrator agreed to attend outsourced training by an approved vendor regarding administrator qualifications and health and safety. Proof of training sign-up shall be submitted by 05/01/2026, and proof of the completed additional 40 hours shall be submitted by 05/08/2026 to LPA. Submit vendor name, address, vendor number and phone number with date of training. Follow up with a training certificate and a detailed agenda.

Official classification

Type A

Official code

87202(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (1) Nonambulatory persons. This requirement is not met as evidenced by: Deficient Practice Statement Based on [observation, (interview), the Administrator did not comply with the section cited above in one (1) out of (1) (persons), which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction Administrator will secure a licensed facility for resident to be relocated. The Administrator will email the LPA the information of the relocation facility. Furthermore the Administrator will contact the LAFD to inform them of the non-ambulatory resident at the faciltiy.

Official classification

Type A

Official code

87204(b)

Regulation authority

CCR

What the official deficiency says

(b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents. Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on [observation, (interview), the Administrator did not comply with the section cited above in one (1) out of (1) (persons) who are non-ambulatory was adimitted to the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction Administrator will secure a licensed facility for resident to be relocated. The Administrator will email the LPA the information of the relocation facility. Furthermore the Administrator will contact the LAFD to inform them of the non-ambulatory resident at the faciltiy.

Official classification

Type A

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above in 5 out of 5 (staff)] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/15/2026 Plan of Correction The Administartor stated tha all staff will reciev the 40hrs of trainig by the POC date and will email the LPA the names of the staff, certified trainer, date time and hours.

Official classification

Type A

Official code

87458(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview) , the licensee did not comply with the section cited above in one out of one (resident) did not have a medical assessment, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction Administrator stated that all new residents will have a medical assessment completed prior to beig admitted to the faciltiy.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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: Deficient Practice Statement Based on (observation), the licensee did not comply with the section cited above in three out of four bedrooms were not set up for residents use, furniture was placed in the middle of the room, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2026 Plan of Correction Rooms will be clean, paited and set up for residents use.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in one out of one personnel records were not available at the faciltiy, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction Administrator stated that their file will be available at the faciltiy on the POC date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on (record review)], the licensee did not comply with the section cited above in one out of one resident's files which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction The Administrator stated that resident will be visiting family member, then relocate to a licensed faciltiy. The Administrator will email the LPA the contact information for the R1 family member, then the contact information for the new licensed faciltiy with a non-ambulatory license.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on observation, LPA observed a padlock with a combination lock installed on the main entrance front door of the facility, which poses an immediate health and safety risk to persons in care.

Official plan of correction

In accordance with the California Health and Safety Code Section 1568.0822(c), you are hereby notified that an immediate $500 civil penalty per violation is assessed today. This is zero tolerance violation. The padlock and combination lock were removed immediately during today’s visit. The Licensee/Administrator agreed to review the Health and Safety Code and regulations pertaining to Fire Safety and submit self-certification to the LPA by 04/10/2026

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 (d) (2) Administrator-Qualifications and Duties. The administrator shall have the knowledge of and ability to conform to applicable laws, rules and regulations. If the licensee is also the administrator, all requirements for an administrator shall apply…This requirement is not met as evidenced by: Based on observation, the facility had a padlock preventing residents from exiting the facility through the front main entrance/exit in case of an emergency, Health and Safety Codes violations were observed during today’s visit, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC: Licensee agreed to attend outsourced training by an approved vendor regarding administrator qualifications and health and safety. Proof of training sign-up shall be submitted by 04/10/2026, and proof of the completed additional 40 hours shall be submitted by 04/24/2026 to LPA. Submit vendor name, address, vendor number and phone number with date of training. Follow up with a training certificate and a detailed agenda.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(A-D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) (1)(A-D) 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 specified in (A) through (D) below...... This requirement was not met as evidenced by: Based on record review and interview, the licensee failed to comply with the section cited above as the facility failed to submit written reports as required, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Administrator shall review Regulation 87211 and submit a written memo of understanding of the regulation to CCL and LPA Urena by POC date.

Deadline recorded: Oct 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

(b) Each to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as S1 didnot have medication training on record, which poses an immediate health and safety risk to persons in care.

Official plan of correction

Licensee will schedule an approved vendor or certified medical professional to conduct a medication training for all facility staff, including management. Proof of scheduled training will be sent to CCL by POC due date. Proof of training to include documentation of training topics covered, duration of training, trainer information, and attendees will be sent to LPA upon completion by due date.

Deadline recorded: Oct 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(c)(1)(2)

Regulation authority

CCR

What the official deficiency says

87411(c)(1)(2) (c)All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified … (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. (2) This training shall be administered on the job, in a classroom setting, or any combination of the two. This requirement was not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as the facility failed to ensure that S1 obtained a CPR/First Aid Training, which poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator will ensure that staff completes CPR and First Aid training by POC date, and will email LPA proof/certificate of completion.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(A-D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) (1)(A-D) 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 specified in (A) through (D) below...... This requirement was not met as evidenced by: Based on record review and interview, the licensee failed to comply with the section cited above as the facility failed to submit written reports as required, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Administrator shall review Regulation 87211 and submit a written memo of understanding of the regulation to CCL and LPA Urena by POC date.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

87204 Limitations - Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions... the license, including specification of the maximum number of persons...This requirement is not met as evidenced by: Based on interviews, and file review the licensee did not comply with the section cited above as the facility admitted Residnet #1 (R1) while at full capacity which poses / posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator stated R1 was relocated, will review regulation, and ensure they will not allow any residents when they are at full capacity.

Deadline recorded: Jun 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87457(b)

Regulation authority

CCR

What the official deficiency says

87457 Pre-Admission Appraisal (b) No person shall be admitted without his/her consent and agreement, or that of his/her responsible person, if any. This requirement is not met as evidenced by Based on interviews, and file review the licensee did not comply with the section cited above as the facility admitted Resident #1 (R1) without proper documentation which poses / posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator stated R1 was relocated, will review regulations and ensure they will not accept residents when they do not have all the proper documentation.

Deadline recorded: Jun 19, 2025. A deadline is not proof that correction was completed.