Starglow RCFE

Allegation investigated: Other: staff did not appropriately respond to gas leak in the facility.

Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to Starglow RCFE on 7/8/26 at 9:00am to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with staff, Chris Burns and together discussed the investigation details. Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegation. LPA conducted interviews with the reporting party (RP), three staff members and the adminisntrator. LPA attempted to interview three residents. based on LPA file review all residents present in the facility have a diagnosis of dementia. All attemted interviews with residents were unsucessful and did not produce meaningful information related to the above compalint. Residents were unable to provide any infromation regarding a gas leak and evacuation of residents. All staff members interviewed denied the allegation. Unsubstantiated One staff member was present and on duty and denied facility staff did not evacuate residents after reporting gas leak to administrator. Administrator denied the allegation and reported residents were evacuated prior to being alerted by others and gas company response to the facility. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 8, 2026 · control 27-AS-20251001110100

Allegation investigated: ) Facility did not report incident to department.

Licensing Program Analysts (LPAs) Kevin Gould and Noel Wolf-Petersen made an unannounced inspection to the Starglow RCFE on 10/2/25 at 11:50pm to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with staff, Chris Burns and together discussed the investigation details. Based on the interviews and statements obtained during the investigation process, the allegations are substantiated. Interviews with S1 determined the facility did not submit an incident report to the department following the evacuation of residents due to concerns of a gas leak at the facility and Utility responding to the home. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Reporting Requirements is substantiated. The following deficiency is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the home. Substantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2025 · control 27-AS-20251001110100

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Oct 10, 2025

Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by a confirmed gas leak which required facility evacuation that was not reported to the department which poses a potential health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 2, 2025

Plan of correction: Licensee has agreed to provide a written declaration indicating the events of this nature of any instance where residents may be evacuated will be reported to the department in a timely manner.

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 9/5/25 at 10:30am Licensing Program Analyst (LPA) Kevin Gould arrived at Starglow RCFE for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Angeline Houston and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor and clean. LPA observed wooden blinds in bedrooms 1 and 3 that are in need of repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 113 degrees F in the kitchen and 110 degrees F in the bathroom which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 9020 client roster and current administrator certificate. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 5, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 8/8/24 at 9:00am Licensing Program Analyst (LPA) Kevin Gould arrived at Starglow RCFE for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 111 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 9020 client roster and current administrator certificate. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 8, 2024

Allegation investigated: Other: Staff's conduct poses a risk to residents in care.

Licensing Program Analyst (LPA) Kevin Gould made an unannounced inspection to Starglow RCFE on 12/29/23 at 10:15am to conclude the investigation of the above allegations and to deliver the findings. LPA met with staff member Arlo Arcega and together discussed the investigation details. Based on the interviews conducted and statements obtained during the investigation process, the allegations cannot be corroborated because the staff member who is alleged to have an out of state criminal activity record has not worked at this location for over a year and a half. The staff members presence in the facility was limited and transitory and the staff member was only employed by the facility for less tahn 3 days. Per staff interview and interviews with the licensee, both parties denied the allegation and provided statements and documentation that the identified staff member, although associated to all facilities owned by the licensee, no longer works at any of the identified facilities including thislocation. The Administrator agreed to create a guardian account with CCLD and disassociate the staff member who worked at the facility to ensure this type of allegation does not reoccur. Unfounded The Department has investigated the complaint alleging other. Based on the investigative interviews, record reviews and other supportive evidence, the complaint is determined to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The Complaint has been dismissed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility staff and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Dec 29, 2023 · control 27-AS-20231218194845