Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted a Case Management – Deficiency Visit at the facility. Upon arrival, LPA met with Memory Care Director (MCD), and and Excusive Director Tonya Reynolds who granted entry into the facility. Marisa Zamudio, who granted entry into the facility.

The facility submitted a Special Incident Report (SIR) to Community Care Licensing regarding an elopement incident that occurred on September 26, 2025. According to the report, at approximately 6:40 p.m., R1 was observed missing from their room during a routine status check. An All-Call was initiated via walkie, and staff began a head count while searching for R1. At approximately 7:15 p.m., the facility received a call from the Brea Police Department advising that R1 had been located outside of the facility.

Nursing staff and other employees immediately responded to assist R1. Upon return, R1 was assessed and showed no signs or symptoms of pain or injury. As a precautionary measure, 911 was contacted, and R1 was transported to UCI Medical Center for further evaluation. The resident’s primary care physician and power of attorney were subsequently notified.

Based on the information obtained during this visit, deficiencies are being cited under Title 22, Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421IM. An exit interview was conducted, and copies of this report, including appeal rights, were provided to MCD, Marisa Zamudio.