Starlight Senior Living

Allegation investigated: Staff are not allowing hospice staff into facility to provide care to resident

Licensing Program Analyst (LPA) De Leon issued final findings for this complaint. The facility closed on October 20, 2025. LPA delivered this report via e-mail, first class mail, and certified mail. LPA Venus Mixson conducted an initial 10-day visit, toured facility, and investigated this complaint on 03/13/2024. LPA interviewed staff on 03/13/2024 between 8:38am-11:18am. LPA Mixson made a subsequent complaint visit to the facility on 05/24/2024 and interviewed a resident in care between 10:40am-12:13pm. LPA De Leon reviewed the complaint and interviews on 04/06/2026. On the allegation: Staff are not allowing hospice staff into the facility to provide care to resident. LPA Mixson interviewed staff which revealed no staff at the facility refused entry for a hospice agency to visit a resident in care. Staff stated there were no residents by that name living in the facility at that time of the visit on 03/13/2024. Continued 9099-C Unsubstantiated A placement agency and hospice agency staff was interviewed which revealed at the time of the visit on 03/13/2024 there was not a resident living in the facility by that name on hospice services with their agency and the name of the person in question was on a list for placement and was last known to reside at Premier Nursing Home, staff had also never been denied entry at the facility while visiting the facility residents on hospice, and Administrator and staff have had a great working relationship for 7-8 years. Another hospice agency staff member from a different agency was interviewed which revealed hospice staff did not visit the facility in person, did not knock on the door and was never told by facility staff that hospice staff could not enter the facility. LPA Mixson visited the facility on 05/24/2024 and interviewed resident 1 (R1) R1 when R1 moved into the facility R1 was not on hospice services, R1 was not currently on hospice services at the time of interview and the staff at the facility were meeting R1’s needs and services. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred this allegation is deemed Unsubstantiated at this time. No deficiency cited and copy of report emailed, printed for first class mail, and certified mail to the Licensee on file.the state’s words, verbatim · CDSS document, Apr 9, 2026 · control 18-AS-20240308145116

Allegation investigated: Facility staff is not ensuring resident is adequately fed Facility staff is not ensuring that resident takes medication as prescribed Facility staff did not ensure the resident's hygiene needs were met

Licensing Program Analyst (LPA) Abdoulaye Zerbo made and unannounced visit at the facility to deliver findings on the above allegations. LPA met with Licensee Dana Matei and discuss the purpose of the visit. It was alleged Facility staff is not ensuring resident is adequately fed. During the investigation, Licensing Program Analyst (LPA) conducted interviews with staff and residents, reviewed meal schedules, and observed food storage and preparation areas. Residents interviewed stated they receive three meals per day and snacks, and that meals are served on time and meet their dietary needs. LPA observed an adequate supply of perishable and non-perishable food items, all properly stored and within expiration dates. Resident 1 (R1) stated during the interview that they are being fed well but they just don’t eat food prepared by certain staff members. Furthermore, information obtained revealed that R1 is offered food but denies it, fearing that the food is poisoned. Unsubstantiated It was alleged that facility staff were not ensuring that a resident (R1) was taking their prescribed medication as directed. As part of the investigative process, the LPA conducted interviews with both facility staff and residents. The information gathered during these interviews indicated that R1 is consistently offered their prescribed medication by staff; however, R1 frequently refuses to take it. Staff members reported that they follow protocol by offering the medication as scheduled, but R1 declines to comply. To further corroborate this information, the LPA interviewed R1 directly. During the interview, R1 confirmed that staff do offer medication regularly. However, R1 expressed a personal reluctance to take the medication, stating that they do not trust the medication being provided. Records review corroborated the refusal. R1 did not mention any specific incidents or side effects but emphasized a general mistrust as the reason for their refusal. It was alleged that facility staff failed to ensure that resident’s (R1) hygiene needs were being adequately met. In response to this concern, Licensing Program Analyst (LPA) Abdoulaye Zerbo initiated an investigation to assess the validity of the allegation. As part of the investigation, the LPA conducted interviews with both facility staff and residents to gather relevant information. According to staff interviews, R1 is scheduled to be offered bathing opportunities twice a week, specifically on Tuesdays and Fridays. Staff reported that they consistently follow this schedule and offer R1 the opportunity to shower on those designated days. However, staff also noted that R1 frequently refuses to participate in bathing, despite being encouraged and reminded. This information was corroborated during interviews with other residents and through direct communication with R1. When interviewed, R1 acknowledged that staff do offer showers regularly but stated that they choose not to bathe due to personal preference. Based on records review, resident interviews, and staff interviews, the above allegations are Unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided to Licensee Dana Mateithe state’s words, verbatim · CDSS document, Oct 16, 2025 · control 18-AS-20250802074203

Allegation investigated: Staff refused to take resident back into care

Licensing Program Analyst (LPA) Abdoulaye Zerbo made and unannounced visit at the facility to deliver findings on the above allegation. LPA met with Licensee Dana Matei and discuss the purpose of the visit. It was alleged that Staff refused to take resident back into care. Licensing program Analyst (LPA) Abdoulaye Zerbo conducted interviews with staff and the information obtained revealed the facility was not informed of the return of resident 1 (R1). The individual who returned the resident did not identify themselves, did not provide discharge documentation, and left the resident outside the facility without proper communication or hand-off. R1 was reportedly dropped off without a wheelchair, medication, or discharge paperwork. Additional information obtained revealed the individual who dropped off R1 refused to provide their name and left the scene abruptly. Based on records review, resident interviews, and staff interviews, above allegation is Unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided to Licensee Dana Matei Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 16, 2025 · control 18-AS-20250813142400

Type of visit: Case Management - Other

On 10-16-2025, Licensing Program Analyst (LPA), Abdoulaye Zerbo made an announced visit for the purpose of conducting the final facility closure visit. LPA was greeted and granted entry by the Licensee, Dana Matei. The department learned of the closure on 08/13/2025. Licensee notified the department to advise of their intentions on voluntarily closing the facility. During today's visit, LPA toured the interior and exterior of facility with licensee Dana Matei, and observed (4) bedrooms for residents and (1) bedroom for staff to be vacant. LPA confirmed relocation of 5 of 5 residents by calling the facilities. The Licensee surrendered their original License on 10-16-25 (Effective Date: 10-20-2025). The LPA explained to licensee that the license will no longer be valid, and therefore no required care and supervision should be provided in the home unless the state approves licensure in the future. An exit interview was conducted, and a copy of this report was provided to the licensee Dana Matei.the state’s words, verbatim · CDSS document, Oct 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver Linda Linson, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Licensee Dana Matei joined the visit at a later time. Facility Overview: The facility is a single- story building with 4 residents' bedrooms, 1 staff room, 2 bathrooms, a dinning room, a living room, an office area, a kitchen, a laundry room, an outdoor area, and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to residents. The smoke detectors and carbon monoxide detectors were operable. LPA observed fire extinguisher to be in compliance with the department's requirements and with an expiration date of 12-31-2025. The water temperature was tested within regulations measuring 112.8 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The Administrator holds a current administrator’s certificate with the expiration date of 04-03-2026 and CPR certification with the expiration date of 08-28-27 Record Review and Resident/Staff Files: LPA reviewed files for 2 staff members, confirming criminal clearance, updated training, and health screening. 2 residents' files were reviewed and contained all required documentation. LPA observed first kit to be available for the residents in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen. LPA reviewed medications for 2 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 07-15-2025, which met the department's requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee Dana Matei.the state’s words, verbatim · CDSS document, Aug 28, 2025

Type of visit: Required - 1 Year

On 9/5/24 Licensing Program Analyst's (LPAs) Valerie Flores, Ferrer Sabarias, and Andrei Castillo conducted an unannounced one (1) year required visit. LPA's were granted entry by caregiver, Laura McGowan, who was informed of the purpose of visit. At the time of the visit there were one (1) staff, Licensee/Administrator and five (5) residents present. All staff present were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA's observed the following during today's visit: LPA's conducted a tour of the facility with staff member, Laura McGowan. The physical plant contained four (4) resident bedrooms, one (1) staff bedroom, and two (2) bathrooms. The facility has a dining room, kitchen, great room, and a gated backyard. Indoor and outdoor passageways were free of obstruction. There were no bodies of water located on the property. The facility has more than a two (2) day supply of perishable foods and seven (7) day supply of non-perishable foods. LPA's observed an additional refrigerator with perishable and non-perishable foods in the garage along with emergency water. Emergency food is stored in the pantry located in the kitchen. Dishes and utensils were in sufficient supply and in good repair. Knives and sharp items are located in the kitchen in a locked drawer. Resident bedrooms had the required bedding, furniture, and lighting. Disinfectants and cleaning solutions were secured in a locked cabinet under the kitchen sink. The smoke and carbon monoxide detectors were tested and were observed to be operable. LPA's observed fully charged fire extinguishers throughout the facility. Bathrooms were equipped with the required railing and non-skid mats. Centrally stored medication was observed in a locked cabinet located in the kitchen. Continuation on LIC809C... Staff files reviewed have a criminal record clearance, Activities of Daily Living (ADL) training's, and valid first aid/CPR certification. Resident files included but are not limited to signed admission agreements, appraisals, physician reports, and needs and service plan. Facility sketch, personal rights, see something say something, and LTCO poster are posted on the walls throughout the facility. According to Licensee, Dana Matei, there are no firearms or ammunition on the premises. During today's visit, LPA's did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided to staff, Laurathe state’s words, verbatim · CDSS document, Sep 5, 2024