Facility Evaluation Report

On 08/27/2025 at 3:30 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a case management visit in regards to incident reports received to Community Care Licensing Division (CCLD) on 06/23/2025. LPA met with Assistant Executive Director, Deborah Bradley and Interim Executive Director, Ricardo Romero and informed the reason for visit.

On 06/23/2025 CCLD received two Unusual Incident Reports (UIR) that occurred on 06/16/25 and 06/18/25. The incident report indicated that resident (R) R1 left the community by themself through one of the backdoors. The report further indicated that the front desk reviewed the cameras and saw R1 crossing the street, on the sidewalk coming from the east side of building and also coming from the shopping center back to the community. The writer stated on the report that R1's Wander Guard did not go off. The UIR that occurred on 06/18/25 indicated that R1 left the community by themself through one of the backdoors again. The writer of this report stated that R1's Wander Guard went off. The report further stated that a RA was able to direct R1 back inside the community.

On 08/27/2025 LPA L. Alexander interviewed S1 that stated they have been having conversations with R1's family regarding the elopements and suggested a 1:1 companion and memory care. S1 stated that the family started 1:1 companion on 06/18/2025 later that evening.