Facility Evaluation Report
Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced Case Management - Incident visit at 11:20AM. The purpose of this visit is to conduct an investigation regarding a self-reported incident that occurred on 07/06/2026. LPA met with Executive Director (ED) Cyntia Drachenberg and explained the reason for the visit.
During today’s visit, LPA conducted a brief physical plant tour to ensure there are no immediate health and safety hazards, conducted interviews with three (3) staff members, one (1) visitor, and one (1) resident, and reviewed and obtained copies of pertinent documents.
On 07/12/2026, the Department received an incident report stating that on 07/06/2026, Resident #1 (R1) was found at a nearby gas station outside of the facility by Staff #1 (S1). R1 was safely escorted back to the facility where an assessment was performed and no injuries or abnormal vitals were observed. R1’s primary care physician and responsible parties were notified. ED Drachenberg stated that following the incident, R1’s care plan was updated to reflect 24/7 private caregiver oversight to prevent R1 unsafely wandering or leaving the facility unassisted. ED also stated that an elopement drill in-service was conducted with all staff and online trainings were provided. LPA interviewed R1 and one (1) visitor and no concerns regarding lack of supervision or staffing were noted. LPA observed the memory care unit to be secured, and the front entrance/exit monitored by the front desk.
An additional report may follow if warranted.
Exit interview conducted. A copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction