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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850586
Report Date: 02/03/2026
Date Signed: 02/03/2026 03:54:03 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
01/27/2026 and conducted by Evaluator Sandra Urena
COMPLAINT CONTROL NUMBER: 29-AS-20260127125601
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: 5DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Satenik AlajanyanTIME COMPLETED:
04:05 PM
ALLEGATION(S):
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Staff did not administer medication to a resident in care.
Staff did not keep facility free of vermin.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sandra Urena conducted an initial unannounced visit to investigate the allegations listed above. The LPA was greeted by staff, and the staff called the Administrator and informed them of the visit. The Administrator did not speak with the LPA. The LPA waited for the Administrator to arrive; however the Administrator did not arrive 30 minutes after the call. The staff attempted to communicate with the Administrator once again, but the call was not answered according to the staff. The LPA called the number on file for the Administrator however the call went to voicemail. At 1:03 p.m. LPA Urena called the Licensee Satenik Alajanyan, and the Licensee stated that they would arrive at the facility within an hour of the call. The LPA explained the reason for the visit and stated they would wait for the Licensee to arrive.

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 facility is in compliance with Title 22 Regulations.
Continues on LIC 9099C...page 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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 6
Control Number 29-AS-20260127125601
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: 02/03/2026
NARRATIVE
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LPA Urena interviewed staff and residents from approximately 10:30 a.m. to 12:26 p.m. and requested records pertinent to the investigation. At 2:35 p.m. the Licensee arrived at the facility, and the LPA interviewed the Licensee at approximately 2:40 p.m.

Staff did not administer medication to a resident in care.On the allegation that staff did not administer medication to a resident in care, it is the concern of the reporting party that the resident (R1) is not receiving their medication as prescribed. The LPA was unable to communicate with the RP for further information. To investigate the allegation at approximately 1:22 p.m. the LPA conducted a medication audit and interviewed residents. One resident stated they get their medication on time, one resident stated that they do not take medications. The medication audit consisted of reviewing the LIC 622 (Centrally Stored Medication and Destruction Record) and auditing prescription bottles/counting pills. The record review of the LIC 622 for R1 revealed that medications are not being recorded as they are received by the facility and discrepancies were found on dates (filled/ start date/ expiration date) between the LIC 622 and the medication bottles. One medication bottle for Atorvastatin (40mg./100 pills, 1Xd) with a count of 21 pills left in the bottle, showed that the medication bottle was filled on 08/21/2025 per the prescription label, however the LIC 622 stated the medication was filled on 03/27/2025. At the time of the medication audit the medication should have been refilled. It is unknown when the first day of the medication was given as the dates on the LIC 622 could not be confirmed. The second medication audited was Hydralazine (25m./90 pills/3xd) which was not registered in LIC 622. The interview with staff revealed that they assist two residents with insulin injections, furthermore, staff stated that they do give the medications to the other residents as prescribed. However, due to the medications not being properly documented in the LIC 622, it’s impossible to assess if residents have been properly assisted with their prescribed medications. The Licensee’s interview revealed that they could not explain the medication discrepancies.

Based on observation of the medication audit, and the interviews, the Staff did not administer medication to a resident in care as prescribed. Therefore, the allegation is deemed Substantiated at this time.

Continues on LIC 9099C... page 3.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 29-AS-20260127125601
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: 02/03/2026
NARRATIVE
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Staff did not keep facility free of vermin.

On the allegation that the facility is not kept free of vermin, it is the concern of the RP that the facility has cockroaches and mice. To investigate the allegation, the LPA conducted interviews and inspected the facility grounds. Based on the interview of residents, residents stated that they have seen mice and cockroaches in the kitchen area, but not in their rooms or other areas of the facility. At approximately 12:05 p.m. the LPA inspected the kitchen area and observed cockroaches in the pantry area, while inspecting the dry food items and fruits. The LPA did not observe mice at this time.

Based on interviews and observation, the facility is not free of vermin. Therefore, the allegation is deemed Substantiated at this time.

Pursuant to Title 22, California Code of Regulations (CCR), the following deficiencies were cited (refer to LIC 9099-D).


Exit interview was conducted. A copy of the report and Appeal Rights were provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 29-AS-20260127125601
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: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2026
Section Cited
CCR
87465(a)(4)
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87465(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by:
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Licensee will provide proof of medication administration training via a professional and will submit proof to LPA via email by the POC date.
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Based on observation and record review, the licensee did not comply with the section cited above as 1 of 4 resident medications reviewed contained inconsistencies with their medication amounts remaining and amounts documented as administered on the centrally stored which poses an immediate health and safety risk to persons in care.
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Type A
02/09/2026
Section Cited
CCR
87555(b)(27)
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General Food Service Requirements
(b) The following food service requirements shall apply:
(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.
This requirement is not met as evidenced by:
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Licensee agreed to have a professional exterminator company conduct a fumigation treatment, and email the LPA prorf of the exterminator service provided.
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Based on LPA observation, the Licensee did not comply in the section cited above in that cockroaches were observed in the kitchen, pantry area.This posed an immediate health and safety risk to persons 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: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
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
01/27/2026 and conducted by Evaluator Sandra Urena
COMPLAINT CONTROL NUMBER: 29-AS-20260127125601

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: 5DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Satenik AlajanyanTIME COMPLETED:
04:05 PM
ALLEGATION(S):
1
2
3
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5
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9
Staff did not ensure that the residents room is free of clutter and trash.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sandra Urena conducted an initial unannounced visit to investigate the allegations listed above. The LPA was greeted by staff, and the staff called the Administrator and informed them of the visit. The Administrator did not speak with the LPA. The LPA waited for the Administrator to arrive; however the Administrator did not arrive 30 minutes after the call. The staff attempted to communicate with the Administrator once again, but the call was not answered according to the staff. The LPA called the number on file for the Administrator however the call went to voicemail. At 1:03 p.m. LPA Urena called the Licensee Satenik Alajanyan, and the Licensee stated that they would arrive at the facility within an hour of the call. The LPA explained the reason for the visit and stated they would wait for the Licensee to arrive.

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 facility is in compliance with Title 22 Regulations.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 29-AS-20260127125601
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: 02/03/2026
NARRATIVE
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LPA Urena interviewed staff and residents from approximately 10:30 a.m. to 12:26 p.m. and requested records pertinent to the investigation. At 2:35 p.m. the Licensee arrived at the facility, and the LPA interviewed the Licensee at approximately 2:40 p.m.

Staff did not ensure that the residents room is free of clutter and trash.

Onn the allegation that staff did not ensure that the residents’ room is free of clutter, trash and kept clean, it is the concern of the RP that the residents rooms and bathroom trash cans are overflowing with trash, and the rooms are full of dust. To investigate the allegation, at approximately 10:35 a.m., the LPA conducted a tour of the facility, and observed the residents’ rooms to be clean, and trashcans empty. However, two bedrooms appeared to have lots of personal items that appear to give the room an appearance of clutter. No dust was observed, and residents stated that staff do clean the rooms frequently, at least one a day.

Although the allegation may have happened or is valid, based on the interviews, and observation, there is not sufficient evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated at this time.


Exit interview was conducted. A copy of the report was issued.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6