Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced Case Management Visit-Incident on 05/08/26, stemming from incident reports received on 04/28/26, 05/01/26 and 05/06/26. LPA was greeted by Business Office Director Debbie Valdez and the purpose of the visit was explained.

During today’s visit, LPA Gonzalez obtained copies of the following documents for R1 and R2: physician report, service plan and resident assessment. LPA toured the facility and interviewed S1.

According to Unusual Incident/Injury Report received on 04/28/26, staff reported that resident #1 (R1), a memory care resident, was observed to have walked out of the building into the main parking lot of the facility. Staff was able to successfully redirect R1 back inside and R1 was escorted back to the memory support unit. An internal investigation was conducted and S3 was terminated due to admitting to allowing R1 to exit alone without supervision. R1’s service plan was updated and R1’s primary care physician was notified.