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Inspection visit

Routine inspection (multi-day)

FIVE STAR ASSISTED LIVINGLicense 107209007
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 1/21/25, Licensing Program Analysts (LPAs) M. Medina and M. Garza conducted an unannounced annual required inspection. LPAs stated the purpose of the visit and were allowed entry into the facility. Administrator contacted by direct care staff and arrived a short time later to meet with LPAs. LPAs conducted facility tour with direct care staff. LPA Medina reviewed a sample of staff and resident files and observed the files to have the required documentation and staff training. LPA Garza will document the physical plant tour and inspection tool results on a separate report. Exit interview conducted and facility report signed by Administrator. No deficiencies cited on this report. Due to technical problems. A copy of this report will be emailed to Administrator.

Citations

7 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.

  • 1569.69(e)(3)Type A

    Based on LPA record review of staff records. The licensee did not comply with the section cited above in that 3 of 4 staff files reviewed did not have the required documentation. This poses an immediate health, safety or personal rights risk to persons in care.

  • Facility must clear fire safety for bedridden persons

    Based on LPA interviews with staff and Licensee disclosing 2 residents are bedriddent and LPA observations. The licensee did not comply with the section cited above in 2 of 6 residents are bedridden. This poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    Based on LPA observations. The licensee did not comply with the section cited above in living room couch observed with tears and in need of replacement. Hallway vent/air filter observed dirty and in need of cleaning/replacement. Patio fan drooping and in need of replacement. Backyard fence observed leaning and with broken boards in need of repair. Dog feces observed on walkway and in yard in need of cleaning. This poses a potential health, safety or personal rights risk to persons in care.

  • 87307(d)Type B

    Based on LPA observations. The licensee did not comply with the section cited above in of front entrance observed with stairs and ramp without hand railing. Back door steps observed without hand railing. This poses a potential health, safety or personal rights risk to persons in care.

  • 87309(c)Type B

    Store toxic and hazardous substances safely

    Based on LPA observation. The licensee did not comply with the section cited above in that over-the-counter medication observed in refrigerator and in kitchen cabinet unlocked and accessible. Tools observed in backyard unlocked and accessible. This poses a potential health, safety or personal rights risk to persons in care.

  • Freedom to leave and not be locked in

    Based on LPA observation. The licensee did not comply with the section cited above in that the facility was observed with a locking pin and a hole at the bottom of the front door. This poses a potential health, safety or personal rights risk to persons in care.

  • 87555(a)Type B

    Diet quality and preparation in safe healthful manner

    Based on LPA observation of non-perishable food source. The licensee did not comply with the section cited above in non-perishable food source observed was not sufficient for 6 residents in care. This poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 21, 2025 inspection of FIVE STAR ASSISTED LIVING?

This was an other inspection of FIVE STAR ASSISTED LIVING on January 21, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to FIVE STAR ASSISTED LIVING on January 21, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

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

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