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Inspection visit

Follow-up

STARLIGHT CARE HOMELicense 1976079013 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Galarza conducted an unannounced case management visit. LPA met with Licensee/ Administrator Ana Duenas. Office Manager Andrew Escobar arrived shortly after. The purpose of the visit was to follow-up on items addressed during the Noncompliance Conference (NCC) meeting held on September 17, 2025. 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: On 11/3/2025, Licensee Ana Duenas hired Office Manager Andrew Escobar. Licensee continues to be the facility Administrator. Ms. Duenas stated she cannot financially hire an Administrator. 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 stated that the 2 live-in staff, of which one was sleeping in the garage and the other in the living room are now sleeping in former resident room #3. The room was designated as a live-in staff room. The facility sketch was updated. * Pending: An updated Plan of Operation that addresses physical plant changes has not been submitted. A repeat citation and civil penalty was assessed. Visit observations: 1. (R1) is not currently enrolled in hospice and their bed had full bed rails, 2. A Vitamin B-12 1,000 mcg was observed unlocked in the living room and Allergy Relief Antihistamine 10 mg was observed unlocked in staff room. Pursuant to Title 22, citations were issued. Exit interview was conducted and a copy of the report/appeal rights were issued to Ana Duenas.

Citations

3 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 on record review and interviews, Licensee has not submitted an updated Plan of Operation that includes and addresses the physical plant changes made i.e., a former resident room (rm #3) is now the live-in staff room. This poses a potential health, safety, or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met evidenced by: Based on observation, a Vitamin B-12 1,000 mcg was observed unlocked in the living room and Allergy Relief Antihistamine 10 mg was observed unlocked in staff room. This poses an immediate health, , safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    Postural Supports. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement was not met evidenced by: Based on observation, the licensee did not comply with the section cited above in that (R1) is not enrolled in hospice and their bed had full bed rails, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 26, 2026 inspection of STARLIGHT CARE HOME?

This was a other inspection of STARLIGHT CARE HOME on March 26, 2026. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to STARLIGHT CARE HOME on March 26, 2026?

Yes, 3 citations were issued (2 Type A, 1 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.