Facility Evaluation Report

On 11/25/25, Licensing Program Analyst (LPA) M. Yang conducted case management- deficiency visit to the facility. LPA introduce self, stated the purpose of the visit and met with Resident Service Director Casey Gonzales and Administrator Douglas Rice.

The purpose of the visit is to address incident that was reported on 11/17/25 where R1 AWOL from the facility on 11/14/25. The facility was contacted by the resident’s family and informed the resident had contacted the family that the resident was not located inside the facility. The facility was not aware that R1 went AWOL until R1’s family contacted and informed the facility.

Therefore, as mentioned, R1 went AWOL from facility. As a result, a deficiency is being cited, per

California Code of Regulations, Title 22, Division 6, see attached Lic 809D. An immediate civil penalty of

$500.00 was issued, see Lic 421IM. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirms receipt of this report.