Facility Evaluation Report

On 11/05/2025 at 1:00 PM , Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident reported to Community Care Licensing Division (CCLD) on 10/22/2025 . Upon arrival, LPA met with Executive Director (ED) Angeles Sticka and explained the purpose of the visit.

LPA obtained the following documents: Resident Roster, Resident Information Sheet, medical assessment dated (07/02/2025), Memory Care Staff schedule (week 10/12/25), In-Service "Elopement Drill" training staff sign-in sheet (dated 10/18/25 and 10/22/25), and Individualized Service Plan (dated 10/28/25).

LPA interviewed Staff (S1) who stated that on 10/17/2025 , Resident (R1) eloped from the Memory Care (MC) unit. S1 reported that MC staff on duty did not observe R1 leaving the secured unit. According to S1, R1’s granddaughter was the individual who discovered that R1 was missing from their apartment and could not be located within the MC unit.

S1 stated that staff immediately initiated the facility’s elopement protocol , which includes: conducting a search of the MC unit and resident apartments. Checking the Assisted Living (AL) apartments, common areas, and the remainder of the building. Conducting an external neighborhood search. Contacting 911 if the resident cannot be located.