Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced case management visit to this facility. LPA arrived, was greeted by the receptionist, and met with the Assisted Living Director, explaining the reason for the visit. On May 15, 2025, Community Care Licensing (CCL) received a Special Incident Report (SIR) regarding Resident#1(R1) being AWOL. On May 13,2025, R1's roommate informed Staff#1 (S1) that R1 was missing and needed assistance in locating R1's whereabouts. After 15 minutes of searching the facility, S1 was unable to find R1. S1 then reported to Staff#2 (S2) and the Assisted Living Director. Facility staff successfully located R1 outside the facility across the street. The Assisted Living Director called 911 and notified R1's responsible party. Paramedics and the facility nurse confirmed that R1 had no injuries and did not require a transfer to the hospital. During today's visit, LPA conducted three staff interviews and record reviews. According to R1's physician's report, R1 is not allowed to leave the community unsupervised due to dementia or cognitive decline. The Assisted Living Director updated R1's service plan to meet R1's current needs and safety requirements. Currently, a private care attendant is present 24/7 to ensure R1's health and safety. Based on the information obtained, the licensee did not ensure that R1 has an auditory device to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement .

Exit interview conducted, citation issued, appeal right given and copy of this report delivered.