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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850586
Report Date: 08/25/2025
Date Signed: 08/25/2025 06:20:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2025 and conducted by Evaluator Sandra Urena
COMPLAINT CONTROL NUMBER: 29-AS-20250821122539
FACILITY NAME:ALL STAR LIVING INCFACILITY NUMBER:
195850586
ADMINISTRATOR:ALAJANYAN,SATENIKFACILITY TYPE:
740
ADDRESS:8123 PASO ROBLES AVETELEPHONE:
(818) 802-0866
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:6CENSUS: DATE:
08/25/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Satenik AlajanyanTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Lack of supervision resulting in resident eloping from the facility.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sandra Urena conducted an initial unannounced visit to investigate the allegation listed above. The LPA was greeted by the staff. The staff contacted the Administrator on the phone. The LPA explained the reason for the visit to the Administrator Satenik Alajanyan over the phone. The Administrator stated that due to personal reasons, they were unable to come to the facility at this time and asked the LPA to go over the allegation.

LPA Urena, along with the staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that the facility is in compliance with Title 22 Regulations.

LPA Urena interviewed the Administrator and staff from approximately 10:55 a.m. and 11:25 a.m. Requested records pertinent to the investigation, and reviewed records from approximately 11:56 to 12:39 p.m.
Continues on LIC 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 29-AS-20250821122539
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ALL STAR LIVING INC
FACILITY NUMBER: 195850586
VISIT DATE: 08/25/2025
NARRATIVE
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Lack of supervision resulting in a resident eloping from the facility.
On the allegation that lack of supervision resulted in a resident (R1) eloping the facility, it is the concern of the RP that R1 was found wandering the streets on 08/19/2025, was picked up by Los Angeles Fire Department and transferred to a medical facility for observation and care. LPA Urena interviewed the RP, and the interview revealed that R1 stated that they have left the board and care facility at least three (3) prior times and the staff usually finds them, and R1 goes back with staff. The Administrator’s interview revealed that they were aware that R1 had eloped the facility, and that they had not reported the incident to the Community Care Licensing Division (CCL) because the Social Worker for R1 had contacted them within 48 hours. The Administrator stated that R1 had eloped on Thursday 08/21/2025. The LPA interviewed the staff (S1) and S1 stated that R1 had eloped on Tuesday (08/19/2025). The staff stated that they noticed that R1 had eloped the facility on 08/19/2025 between 6:00 p.m. and 7:00p.m., was not sure of the specific time, but knew it was before dinner. S1 did not see R1 leave the facility. S1 stated that they were assisting another resident, and after they finished assisting the other resident, they realized that R1 was gone. Per S1, R1 exited the facility through the side gate, which the R1 knows how to deactivate the signal system. S1 stated that R1 has attempted to elope before, but they usually catch R1 and stop them by redirecting R1 back to the facility. Furthermore, S1 stated that they informed the Administrator right away after they noticed that R1 was gone and could not find them. LPA was able to obtain the contact number for the SW and reached out to them. Per the SW, they are not R1’s SW, they work for a health care center where R1 was previously admitted. Record review of LIC 602 (Physician’s Report) reveals that R1 cannot leave the facility unassisted.

Based on the information obtained through interviews and record review, the allegation that staff’s lack of supervision resulted in R1 eloping from the facility, is deemed to be Substantiated at this time.

The following deficiency was observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Failure to correct the deficiency may result in civil penalties.

Citations were issued. Exit interview was conducted with Amy Vetinyan, the Administrator's acquaintance due to the Administrator being unavailable via person or telephone. The Administrator allowed the staff to sign off on the report. A copy of the report and Appeal Rights were issued.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20250821122539
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ALL STAR LIVING INC
FACILITY NUMBER: 195850586
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2025
Section Cited
CCR
87464(f)(1)
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87464(f)(1) Basic Services. Basic services shall at a minimum include: Care and Supervision.
This requirement was not met as evidenced by: This requirement was not met as evidenced by:
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The Administrator shall review Regulation and will submit a plan of action on how the elopement of residents will be prevented and action plan to be followed if the event a resident elopes the facility to CCL and LPA Urena by POC date.
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Based on interviews and records review, the licensee did not comply with the section cited above, as the facility failed to ensure that R1 did not leave the facility unassisted per the physician report, which poses an immediate health and safety risk to residents in care.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
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