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Inspection visit

Follow-up

STARLIGHT CARE HOMELicense 1976079017 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Galarza conducted an unannounced case management visit. LPA met with unofficially appointed Andrew Escobar. The purpose of the visit was to follow-up on items addressed during the Noncompliance Conference (NCC) meeting held on September 17, 2025. License/Administrator Ana Duenas is on vacation for an extended period of time. *NOTE: Licensee did not notify CCL or submit LIC 308 "Designation of Facility Responsibility" delegating authority to appropriate staff during Licensee's absence. During the NCC meeting licensee agreed to: Hire an additional staff member within 30 days of (9/17/25) that will work as needed for oversight of record documentation, and other facility responsibilities. Status: Licensee Ana Duenas has not submitted to Community Care Licensing (CCL) proof that a new staff member/Administrator has been hired. Mr. Andrew Escobar was hired on 11/3/25 but has not been associated to the facility. Licensee did not notify CCL of staffing changes. Submit pending Type B plan of corrections within 30 days. Status: Licensee submitted plan of corrections. Licensee agreed to submit a written plan, update the Plan of Operation and facility sketch addressing live-in staff accommodations. If a permit for an additional dwelling unit (ADU) has been requested submit proof of documentation. Status: Licensee/Administrator has not submitted an updated plan of operation, facility sketch, and a written statement addressing live-in staff sleep accommodations. There are 2 live-in staff. One sleeps in the garage and the other sleeps in the living room. Andrew Escobar/Staff (S1's) file documents were obtained. Pursuant to Title 22, citations were issued. Exit interview was conducted and a copy of the report/appeal rights were issued to Andrew Escobar.

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.

  • 87208(a)Type B

    Plan of Operation. The licensee shall have and maintain a current, written definitive plan of operation for the facility....Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. This requirement was not met evidenced by: Based record review, the Licensee did not submit the following items agreed upon during the 9/17/2025 NCC meeting: written plan, updated Plan of Operation and updated facility sketch addressing live-in staff accommodations. This poses a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    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 was not met evidenced by: Based on observation, the facility interior and exterior physical plant is not clean and sanitary. All facility floors were dirty, kitchen counters and floors were dirty, and discarded furniture was observed in the backyard & garage. This poses a potential health, safety or personal rights risk to persons in care.

  • 87307(a)Type B

    Personal Accommodations and Services. Living accommodations and grounds shall be related to the facility's function. The facility .... provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement was not met evidenced by: Based on observation and interviews conducted, live-in staff (S2) is sleeping in the living room, and live-in staff (S3) sleeps in the garage. This poses a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Storage Space and Access. (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. Based on observation, there was a pair of unlocked scissors in resident (R1's) bedroom #1, unlocked knives and cleaning solutions in kitchen cabinets, and unlocked personal hygiene solutions stored in the living room, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87355(e)(3)Type A

    Criminal Record Clearance. (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) orThis requirement is not met as evidenced by: This requirement was not met evidenced by:Based on file review S1 was hired on 11/3/25, has criminal record clearance, but is not associated to the facility; which poses an immediate health, safety or personal rights risk to persons in care.

  • 87405(a)Type B

    Administrator - Qualifications and Duties. All facilities shall have a qualified and currently certified administrator.... When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section.... Based on observation and staff interviews, Licensee left on vacation out of the country on Nov. 11, 2025, and did not submit to CCL LIC 308 Designation of Facility Responsibility appointing new staff as a facility representative. This poses a potential l health, safety or personal rights risk to persons in care.

  • 87412(a)(11)Type B

    Personnel Records. The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: A health screening as specified in Section 87411, Personnel Requirements - General. This requirement was not met evidenced by: Based on record review, staff (S1) was hired on 11/3/2025. Their file documents do not include a completed health screening/TB clearance. 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 November 18, 2025 inspection of STARLIGHT CARE HOME?

This was a other inspection of STARLIGHT CARE HOME on November 18, 2025. 7 citations were issued: 2 Type A (serious) and 5 Type B.

Were any citations issued to STARLIGHT CARE HOME on November 18, 2025?

Yes, 7 citations were issued (2 Type A, 5 Type B). The first citation was for: "Plan of Operation. The licensee shall have and maintain a current, written definitive plan of operation for the facility..."

What type of inspection was this?

This was a 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.