Casa De Estrella

Type of visit: Required - 1 Year

On 12/19/2025 at 8:30am, Licensing Program Analyst (LPA) Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Evangeline Agatep, Administrator, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) non-ambulatory residents of which one (1) may be bedridden. The facility has an approved hospice waiver for two (2) residents. Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. It consists of the following: five (5) resident bedrooms, two (2) bathrooms, one (1) staff, sitting room, living room, kitchen, dining area, laundry area, two (2) outdoor shaded patio areas, and attached garage. LPA observed tables and chairs in the outside seating areas. LPA observed all walkways around the outside of the facility were observed clean, clear, and free of debris, obstructions, and hazards. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all residents’ bedrooms and observed them to be clean and in good repair. LPA observed bedrooms have the required furniture including a bed(s), dresser(s), nightstand(s), chair(s) and ample storage space for residents’ personal belongings. LPA observed beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of bed linens in good repair. Bathrooms LPA inspected residents’ bathrooms and staff bathroom and observed them to be within Title 22 Regulations. LPA observed the toilet, faucets and showers working properly. LPA observed secured safety handrails and non-skid material in the shower. LPA observed the showers to be clean and free of mildew and/or mold. The water temperature measured 118.6- degrees, 118.7- degrees, and 118.1- degrees Fahrenheit. LPA observed an ample supply of bath towels, toiletries, and personal hygiene supplies in the cabinets. Kitchen LPA inspected the kitchen and observed it clean and sanitary. LPA observed all appliances are operable and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery. LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods properly stored and labeled. LPA observed knives and sharps secured in a locked drawer in the kitchen and are inaccessible to residents. LPA observed cleaning supplies secured in a locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 119.2- degrees Fahrenheit. Common Rooms During the time of visit, LPA observed the facility to be appropriately furnished. In the sitting room, LPA observed two couches and two chairs to accommodate residents. In the living room, LPA observed recliners to accommodate residents. The dining room has a large table and chairs to accommodate residents. LPA observed an ample supply of games, activities, and reading materials available for residents. The facility was maintained at a comfortable temperature. Files LPA reviewed the files for four (4) residents, LPA observed all files have the required documents. LPA reviewed the files for the Administrator and three (3) staff, LPA observed the staff files have the required documents, training, certification, and clearance. LPA observed the administrators Administrator Certificate #7006550740 is valid till 11/08/2026. During file review LPA observed Licensing Fees are current. Medications LPA observed medications secured in a locked cabinet in the kitchen. LPA observed all medications in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for three (3) residents. LPA observed three (3) out of three (3) residents’ medication is consistent with properly documented records. Safety LPA observed smoke and carbon monoxide detectors are operable. LPA observed a fire extinguisher mounted on the wall in the kitchen that was last serviced on 11/26/2025. The last Emergency Drill was conducted on 12/01/2025. The last Fire Prevention Inspection was conducted by the Torrance Fire Department in April 2025. LPA inspected the First Aid kit and observed it has the required items and a current manual. The facility has a current Emergency and Disaster Plan posted in the facility. LPA received and reviewed the Liability Insurance through Acord that is valid till 03/24/2026. Infection Control LPA observed a sanitizing station at the entrance of the facility. The sanitizing station consists of a Visitor Sign-In Log, hand sanitizer, masks, gloves, and a thermometer to take temperatures. LPA observed a Personal Protective Equipment (PPE) cart next to the sanitizing station. LPA observed a 30-day supply of PPEs stored in the garage. LPA observed an ample supply of cleaning products secured in a cabinet in the garage and an ample supply of paper towels. During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Evangeline Agatep, Administrator, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 19, 2025

Type of visit: Required - 1 Year

On 11/25/2024 at 1:30pm, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the annual inspection. LPA met with Evangeline Agatep, Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents of which (1) maybe bedridden. Three (3) the residents are diagnosed with dementia, two (2) residents are receiving home health (0) residents are receiving hospice care services. The facility does not handle any of the residents’ money. The last fire drill was conducted on 10/03/2024. The facility fee is $494.50 and is due on 12/05/2024. LPA provided the pin #055870 to the facility to make annual fee payment online. The home is a single story home consisting of: (5) resident bedrooms, (2) full bathroom, den, living room, kitchen with dining area, laundry room (located in the kitchen) and two (2) outdoor shaded patio area. LPA toured the resident bedrooms which have the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured at 113.1 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Report continues on LIC 809-C Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly, and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8); LPA observed the following deficiencies: On 11/25/2024 at 1:40 PM while LPA was conducting a tour of the physical plant, LPA observed: resident beds had bedrails and reviewed records for Resident #1, Resident #2, Resident #3 and Resident #5 files and did not observe a physicians order on file for the half bed rails. padlock on exterior gate For Resident #2, on the physicians report it states that the resident is bedridden, when resident is not bedridden. An exit interview was conducted with Evangeline Agatep, and a copy of Report and Appeal Rights provided. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) are cleared. *.the state’s words, verbatim · CDSS document, Nov 25, 2024

Allegation investigated: Staff hit resident. Staff handled resident in a rough manner. Staff made inappropriate comment(s) to resident.

This is an amendment to deliver an updated number of residents interviewed during the investigation. The census during the time of the department's visit, on 09/13/24, is five (5) residents. On 09/13/24, The Department of Social Services, Community Care Licensing Division (CCLD) conducted an initial complaint visit at the above-mentioned facility. CCLD staff was met by Evangeline Agatep, Administrator (S3) and the purpose of the visit was explained. The investigation consisted of the following: On 09/13/24 CCLD requested facility documents. On 09/13/24, between 10:00AM and 1:45PM interviewed four (4) staff and three (3) out of five (5) residents. One (1) out of five (5) residents was not available for interview and one (1) out of five (5) residents preferred not to be interviewed. LPA conducted a plant inspection, and records were reviewed. Report continues, see LIC9099C. Unsubstantiated The investigation revealed the following: Regarding the allegation, “Staff hit resident.” It is being alleged that staff are physically abusing residents. Record reviews revealed the following: During the observation of staff records, each staff has completed annual in-service training of 40 hours, directed by Evangeline Agatep, Administrator. Specifically, staff have conducted the "Resident Rights / Reporting Elder & Dependent Adult Abuse" of 3 hours on 02/05/2024 and "Importance & techniques of Personal Care" of 2 hours on 01/22/2024, which verifies that all staff have received trainings on reporting potential elder, and adult, abuse and at how to appropriately assist residents in care. Interviews revealed the following: 4 out of 4 staff and 3 out of 3 residents have disagreed that the allegation has taken place.Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation, “Staff handled resident in a rough manner.” It has been alleged that residents are not being treated with dignity and respect while in care. Record reviews revealed the following: During the observation of staff records, each staff has completed annual in-service training of 40 hours, directed by Evangeline Agatep, Administrator. Specifically, staff have conducted the "Personal assistance and Care including restraints" of 3 hours on 02/19/2024 and "Importance & techniques of Personal Care" on 01/22/2024, which verifies that all staff have received trainings on how to provide personal assistance to residents as they ambulate, the appropriate use of restraints with residents in care and the techniques and importance of staff assisting residents with the residents' personal care. Interviews revealed the following: 4 out of 4 staff and 3 out of 3 residents have disagreed that the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation, “Staff made inappropriate comment(s) to resident.” It has been alleged that staff are verbally abusing residents in care. Record reviews revealed the following: During the observation of staff records, each staff has completed annual in-service training of 40 hours, directed by Evangeline Agatep, Administrator. Specifically, staff have conducted the "Resident Rights / Reporting Elder & Dependent Adult Abuse" of 3 hours on 02/05/2024 and "Resident Rights" of 2 hours on 01/15/2024, which verifies that all staff have received trainings on the importance of Resident Rights and how and when to report expected abuse(s). Report continues, see LIC9099-C Interviews revealed the following: 4 out of 4 staff and 3 out of 3 residents have disagreed that the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been zero (0) deficiencies cited during today's visit. An exit interview was held with Evangeline Agatep (S3), Administrator, and a copy of this report has been provided.the state’s words, verbatim · CDSS document, Sep 13, 2024 · control 11-AS-20240906105757

Type of visit: Annual/Random

On 01/13/2024, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with two caregivers (S1 and S2) and explained the purpose of today’s visit. LPA Richard later was joined by Administrator assistant Melanie Tallada. The facility is licensed to operate for six (6) elderly residents ages 60 and above. The facility is approved for six (6) Non ambulatory of which one (1) may be bedridden and two (2) can be under hospice care. The facility is a single-story structure located in a residential neighborhood. The facility consists of the following: five (5) resident bedrooms, three (3) bathrooms of which one (1) is designated for staff only, a living room area, a dining area, kitchen, receiving or visitation room and an attached garage used for storage only. The washer and dryer are stacked and located in the kitchen and there is a second refrigerator/freezer in the garage. LPA Richard and house manager Barnum toured the inside and outside grounds of the physical plant. There are no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Bathrooms were found to be within Title 22 regulations and were clean and operational. A comfortable temperature was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, and toxins were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. There are two (2) fire extinguishers fully charged in the kitchen and the garage. First aid kit was located in the kitchen. Smoke detectors and carbon monoxide were operable. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed six (6) residents and two (2) staff present during the tour. All mandated inspection control posters were posted. An exit interview was conducted, and a copy of this report was provided to Administrator assistant Melanie Tallada.the state’s words, verbatim · CDSS document, Jan 13, 2024