Facility Evaluation Report

On 02/03/2026 at 2:10 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident. Health Services Director, Leslie Ibo, self-reported the incident on 01/27/2026.

Incident report and interview with Ibo revealed that on 01/26/2026, R1 left the community with friends and did not return. Ibo revealed that the police officers involved during the incident allowed R1 to leave the community since police officers were unable to restrain R1 from leaving.

During the visit, LPA interviewed Health Services Director, R1's Durable Power of Attorney (DPOA), and attempted to interview police officer for more information. Interview with Ibo revealed that R1 has not returned to the facility and facility staff are providing R1's friends with R1's medication everyday. Additionally, Ibo stated that education has been provided to R1's friends each time medication is provided.

LPA obtained the following documents including but not limited to staff roster, resident roster, facility's visitor log, R1's physician report, service plan, resident emergency information face sheet, police contact information, R1's POA documentation, Medication Release Records, and SOC341.

Exit interview conducted and a copy of this report provided.