Office review·February 12, 2026

An Informal Conference was conducted today in the Woodland Hills Adult and Senior Care Regional Office. The purpose of this Informal Conference is to discuss deficiencies cited during the period of 2025 and 2026 as well as concerns arising from case management deficiencies. Present at today's meeting included the Licensee (All Star Living Inc.) Satenik Alajanyan, Yasir Amir, and Estelita Agpada, Licensing Program Manager (LPM) KaSandra Lopez and Licensing Program Analyst (LPA) Sandra Urena. The informal conference process was explained to the Licensee. The Licensee was informed that this Informal Conference is a part of the administrative action process and that further citations may result in a Non-Compliance Conference, which could lead to a referral for Administrative Review by the Department’s Legal Division for possible Administrative Action. Citations discussed related to: Operating overcapacity and having 7 residents when only fire department cleared for 6 residents of which civil penalty was issued, a resident eloping which resulted in found wandering in the streets and picked up by LAFD, staff not having current CPR and medication training, residents not having pre-admission appraisals, two citations related to reporting requirements, staff administering unprescribed medications to resident, medication review that resulted in inconsistency on how medications are prescribed and the amount of medication remaining, cockroaches observed in kitchen and pantry, and facility telephone number not being available for family use. Continues on LIC 809C... Today, a Case Management report was also issued for deficiencies observed by the LPA on 01/27/2026. Those additional deficiencies include 87457 Pre-Admission Appraisal, 87608 (5)(B)-Postural Supports, 87303 (a)Maintenance and Operation 87555(b)(27), HSC 1569.69(b) Medication training, 87355(e)(1) Criminal Record Clearance. Outstanding plan of corrections were also discussed, and the licensee has until Tuesday , February 17, 2026, to submit POCs for the 10/15/2025 Complaint and Case Management visits, and the 2/3/2026 Complaints visits. The CCLD’s Technical Support Program (TSP) was explained to the Licensee. The Licensee was also provided the CCLD website information and was also provided paper copies of resource guides for Hospice Care, Medication Guide, and the Pressure Injuries Guide which can also be found on the CCLD’s website along with other resources, including a RCFE assessment guide so you can be prepared for your first annual inspection. The licensee explained that their plan of action to be in compliance with the department includes hiring a designated Administrator and consistent staff (caregivers). The Licensee agreed to be referred to TSP. Brief History: The facility was first licensed on 04/01/2025, for a capacity of six (6) residents. The parties discussed deficiencies related to the following incidents and observations: 06/19/2025-Case Management Deficiency · During interview with Staff #1 (S1) revealed that sometime early in June 2025 the exact date is unknown the facility was over capacity and had seven (7) residents. Cited for 87204 Limitations - Capacity and Ambulatory Continues on LIC 809C... 08/21/2025-Complaint #29-AS-20250821122539 · Lack of supervision resulting in resident eloping from the facility. · Cited for 87464(f)(1) Basic Services. 08/25/2025-Case Management Deficiency · Staff did not have CPR/First Aid Training. · Cited for 87411(c)(1)(2) (c) Lack of training. 10/11/2025-Complaint C#29-AS-20251011205324 · Staff provided unprescribed medication to resident. · Cited for 87465 (a)(2)- Incidental Medical and Dental Care 10/15/2025-Case Management-Defiency · Licensee did not report to CCL about staff providing unprescribed medication to resident. · Cited for 87211 Reporting Requirements (a) (1)(A-D) 01/27/2026- Complaint #29-AS-20260127125601 Allegations: · Staff did not administer medication to a resident in care. · Staff did not keep facility free of vermin. · Cited for 87465(a)(4) and General Food Service Requirements (b)(27) 02/04/2026-Complaint #29-AS-20260204082332 · Facility staff are not answering communications from resident’s representative. · Cited for 87468.1(a)(9)(14)-Personal Rights 02/12/2026-Case Management-Deficiency · 87457 Pre-Admission Appraisal · 87608 (5)(B)-Postural Supports · 87303 (a)Maintenance and Operation · 87555(b)(27) · HSC 1569.69(b) Medication training · 87355(e)(1) Criminal Record Clearance Exit interview conducted. A copy of the report was issued.