Facility Evaluation Report

On 11/17/2025 at 8:25am, Licensing Program Analyst, LPA Zina Brown conducted a Case Management visit to follow up on the incident reported for Resident #1 (R1). LPA was greeted by Marcus Falanai. LPA explained the purpose of the visit was to gather information surrounding incident of R1 leaving the facility on 11/07 approximately at 12 noon.

The regional office received a fax of an unusual incident/injury report from the facility on 11/10/2025. The incident report stated that R1 went missing from 11/08 - 11/09. On 11/10/2025, Long Beach Memorial hospital notified the facility that R1 has been admitted to the hospital.

Admission Record from Holiday Manor Care Center (dated 10/13/2025)

LIC 602A:Physician's Report for Residential Care Facilities for the Elderly (dated 10/13/2025)

LIC 603: Preplacement Appraisal Information LIC 603 (dated 11/14/2025)

Los Angeles County Department of Mental Health Office of Public Guardian (dated 11/04/2025)

SOC Worksheet Patient Information (dated 11/06/2025)

Superior Court of the State California for the County of Los Angeles Mental Health Letters of Conservatorship (dated 06/16/2025)

Due to insufficient information available at this time a further investigation is needed.

An exit interview was conducted with Joel Niblett (Administrator) and a hard copy was provided.