Facility Evaluation Report
On 01/29/2026 at 9:40 AM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported AWOL incident that occurred on 01/09/2026. LPA met with Executive Director (ED), Angeles Sticka, and explained the purpose of the visit.
On 01/20/2026, LPA P. Manalo received an incident report that indicated that on 01/09/2026, R1 AWOL’D from the facility. Incident report revealed that facility staff seen R1 down the street. Facility staff conducted a search around the neighborhood for R1 and found R1 at bank nearby. Per incident report, R1 did not sustain any injuries.
During the visit, LPA interviewed ED and R1. ED stated that R1 went to the bank so that R1 can pay for R1's rent to the facility. ED stated that a fax report was sent to the physician to follow up on R1's diagnosis.
LPA reviewed and obtained documents including but not limited to resident roster, incident report, physician report, resident assessments, physician fax report, resident information form, and a copy of the check's invoice that R1 made to the facility. Physician report dated 11/23/2025 indicated that R1 has intermittent confusion and is not able to leave the facility unsupervised.
The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty.
Exit interview conducted. Appeal Rights, LIC421FC, and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction