Facility Evaluation Report

On 07/08/2026 at 11:15 AM , Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident reported to Community Care Licensing Division (CCLD). LPA met with Executive Director Joyce Aquino and explained the purpose of the visit.

The Unusual Incident Report (UIR) indicated that on 06/05/2026 , Resident 1 (R1) was found by local law enforcement on Geary Road at approximately 11:50 PM after leaving the facility without staff knowledge.

During today's visit, LPA obtained and reviewed the following documents: Resident Roster, Staff Roster (LIC 500), R1's LIC 602A Physician's Reports (dated 05/09/2024 and 05/21/2026 ), Emergency Information/Face Sheet, and R1's Care Plans dated 04/18/2026, 05/22/2026, 06/06/2026, and 06/30/2026 .

LPA's review of the records determined that R1's physician's report and care plans document that R1 is unable to leave the facility unassisted and requires staff supervision when outside of the community . Despite these identified care needs, R1 exited the facility without staff awareness and was later located by local law enforcement. Immediate civil penalty