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Inspection visit

Follow-up

AASTA ASSISTED LIVINGLicense 565850158
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway arrived on October 24, 2025 for an unannounced inspection to follow up on a substantiated allegation of a complaint investigation. The LPAs met with Facility Designees Agnes Gazaryan and Nandita (Ashley) Kumar. On July 7, 2023, the Department concluded a complaint investigation regarding the following allegation: Facility failed to seek timely medical attention for resident in care, illegal eviction, staff are not sufficient in numbers and competent to provide services necessary to meet resident’s needs, and licensee did not allow resident(s) to select their own health care provider. The licensee was cited for California Code of Regulations (CCR) 87465(g) Incidental Medical and Dental Care and CCR 87468.2(18) Additional Personal Rights of Resident’s in Privately Operated Facilities. At the time of the Noncompliance Conference on February 8, 2024, the licensee was informed that a civil penalty may be assessed based on Health and Safety Code §1569.49(f). The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The Welfare and Institutions Code Section 15610.67 defines serious bodily injury as “an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of a function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the facility’s failure to provide timely medical care; a violation of personal rights; a failure to appropriately respond when the observation of the Report Continued on LIC 809-C resident (R1) showed a change in condition of increased falling; a failure to obtain a re-appraisal; and a failure to provide adequate care and supervision to meet the needs of R1. These deficiencies led to the R1 falling, again, and caused extreme pain as evidenced by R1 screaming. The fall caused a hip fracture and head trauma, which required hospitalization. Today, October 24, 2025, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49(f) for a violation that the Department determines constitutes as serious bodily injury in the amount of $10,000. Exit interview conducted. A copy of the report issued. Appeal rights provided. Nandita (Ashley) Kumar and Agnes Gazaryan and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.

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 other inspection of AASTA ASSISTED LIVING on October 24, 2025. The inspection found no deficiencies and no citations were issued.

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

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.