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Inspection visit

complaint

AASTA ASSISTED LIVINGLicense 5658501581 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC 9099 Regarding allegation “Staff are not providing activities for residents in care” the Reporting Party (RP) expressed concern that the facility does not provide sufficient enrichment activities for residents. Interviews conducted with the Executive Director (ED), Monica Reyes, confirmed that the facility has experienced staffing challenges. The ED explained that when the facility is short-staffed, other personnel assist with resident activities as needed. For example, when the driver resigned on 02/07/2025, the Activity Director assumed the driving responsibilities. Subsequently, the staff member assigned to assist the front desk also resigned, and the Activity director was reassigned to cover the front desk duties. The ED further explained that activities cannot always be conducted as scheduled by the same employee in both units simultaneously as scheduled, acknowledging that there is no separate activity schedule tailored specifically for each unit, the Assisted Living (AL) and Memory Care (MC). During prior LPAs visits, staff were often not observed conducting activities offered by the facility. This was due either to the Activity Director covering the front desk or the Activity Director conducting activities in the AL unit, leaving no personnel available to provide activities for the MC residents. Resident interviews revealed that a new driver was hired on 8/5/2025, so that the Activity Director could resume assisting with activities as scheduled. However, due to the receptionist’s Part-time hours and departure on 9/24/2025, the Activity director has been assigned to cover front desk duties, resulting in limited activity programming. Interviews with the Activity Director confirmed that, due to staffing shortages and the lack of a receptionist, activities are not being conducted as planned. LPA observed that the facility provides the same activity schedule for both units. Additionally, LPA compared the facility's monthly activity schedule with the personnel report and observed that the activity schedule lists activities seven (7) days a week, whith the last activity starting at 6:00 P.M. However, the Activity Director is scheduled to work Monday through Friday from 8:30 A.M.to 5:00 P.M. Based on the information gathered during the investigation, the department has sufficient evidence to confirm this allegation occurred. Therefore, the allegation of “Staff are not providing activities for residents in care” has been SUBSTANTIATED at this time. Continued on LIC 9099-C Continued from LIC 9099-C A $250 civil penalty is assessed for the citation related to CCR 87219(f) for a repeat violation. The back-up Administrator, Agnes Gazaryan and Marketing Director, Ashley Kumar were informed that additional civil penalties might be assessed based on health and safety code 1569.49(f). Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided

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.

  • 87464(f)(1)Type A

    87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c)This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as R1 had numerous falls at the facility and was on 15-minute checks which were not provided, resulting in another fall and fracture, which posed an immediate health and safety risk to residents in care.

  • 87555(a)Type A

    87555 (a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances...safe and healthful manner.This requirement is not met as evidenced by: Based on interview and observation, the licensee did not comply with the above cited section, as portions for residents do not contain the recommended daily amounts of dairy, fruit, or vegetables, which posed an immediate health and personal rights risk to persons in care.

  • 87613(a)Type A

    87613 General Requirements for Restricted Health Conditions (a) Prior to admission of a resident with a restricted health condition, the licensee shall:This requirement is not met as evidenced by: Based on record review and interviews, R1 had a stage II pressure injury identified on 03/31/2025, but no outside care provider caring for the wound or staff training provided until 05/04/2025, which posed an immediate health and safety risk to residents in care.

  • 87303(i)(1)Type B

    87303(i)(1)(C)Facilities shall have signal systems which shall meet the following criteria:(1)All facilities licensed for 16 ...shall have a signal system which shall:(A)-(C). This requirement was not met by Based on observation and interviews the licensee did not comply by having a signal system malfunction. Which poses a potential risk to resident in care

  • 87625(b)(3)Type A

    87625(b)(3) Managed Incontinence...the licensee shall be responsible for the following: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement is not met as evidenced by: Based on interviews, record review and observation, the licensee did not comply with the section cited above, as they did not ensure residents’ incontinence was properly managed, which poses an immediate health and safety risk to residents in care.

  • 87219(f)Type B

    87219 Planned Activities (f) Planned Activities. In facilities licensed for fifty persons or more, one staff member shall have full-time responsibility to organize, and shall be given such staff assistance as… This requirement is not met as evidenced by… Based on interviews, the licensee did not comply with the section cited above as the facility lacks of sufficient personnel to conduct activities for all residents in care which posed a potential personal rights risk to persons in care.

  • 87411(a)Type A

    87411(a) Personnel Requirements General (a) Facility personnel shall at all times be sufficient in numbers... In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure...This requirement is not met as evidenced by… Based on interviews and record review the Executive Director did not comply with the regulation above by not having sufficient support staff to perform essential duties for residents in care which poses a potential health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 24, 2025 inspection of AASTA ASSISTED LIVING?

This was a complaint inspection of AASTA ASSISTED LIVING on October 24, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to AASTA ASSISTED LIVING on October 24, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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