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Inspection visit

Routine inspection

FIVE STAR SENIOR LIVINGLicense 4352028875 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection visit, and met with Administrator (ADM) Jasvir Powar. LPA observed 2 staff in the facility and 5 residents in the facility. LPA reviewed 3 residents files and 3 staff files. LPA toured the facility inside out with ADM. License, Personal Rights posters, and administrator certificate were observed at the entrance. LPA inspected living room, family room, kitchen, dinning room, 1 staff live-in room, 1 office, and laundry room. Medication closet was observed locked. LPA observed the knives closet unlocked. HM locked the knives closet immediately. Dish soap closet solution closet was observed unlocked. HM locked the closet immediately. There are 3 rooms for residents, and 2 bathrooms are in facility. Room temperature was observed at 70 degree F, and hot water temperature was observed at 119 degree F. 2 days perishable food supplies and 7 days non perishable food supplies were observed sufficient. The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm. ADM tested the carbon monoxide detectors, and they were working fine. First aid box, flash light were observed in the facility. LPA inspected the backyard, there wee 2 pots of plants blocked one of the exit. ADM removed the 2 pots of plants before LPA finished the inspection. ADM stated the last drill was conducted on 1/3/2025. ADM stated the facility did not log the date for the last Drill. Deficiencies noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature.

Citations

5 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.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on record review, the licensee did not comply with the section cited above in that staff S1 works for the facility more than one month and staff S2 works for the facility more than 6 months, both wiout health screen forms. which poses/posed a potential health, safety risk to persons in care.

  • 87412(a)(11)Type B

    Include required health screening documents

    Based on record review, the licensee did not comply with the section cited above in that 2 out of 3 staff without health screen forms which poses/posed a potential health, safety.

  • 87458(a)Type B

    Obtain baseline medical assessment before resident admission

    Based on record review, the licensee did not comply with the section cited above in that 2 out of 3 residents physician reports are more than 1 year which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(i)Type B

    Hold reappraisal meeting on changes

    Based on record review, the licensee did not comply with the section cited above in that 2 out of 3 residents' appraisal needs and service plan are over than one year which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in that 3 out of 3 residents' central stored medication forms without started date which poses/posed 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 March 13, 2025 inspection of FIVE STAR SENIOR LIVING?

This was an inspection of FIVE STAR SENIOR LIVING on March 13, 2025. 5 citations were issued: 5 Type B.

Were any citations issued to FIVE STAR SENIOR LIVING on March 13, 2025?

Yes, 5 citations were issued (0 Type A, 5 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in that staff S1 works for the facility..."

What type of inspection was this?

This was an inspection. 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.