Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Rachael Robert, Resident Care Coordinator (RCC) and Administrator Designee. The Interim-Administrator, Magda Luis, was not available due to attending an outside event during the time of the inspection. LPA stated the reason for the inspection was to follow up on resident (R1) who eloped from the facility on May 26, 2026, and previously on April 19, 2026.

The RCC stated that (R1) threw away their WanderGuard necklace device earlier today and staff temporarily placed an anklet on them. At the end of the inspection, LPA observed (R1) to be sleeping in their room and wearing the necklace device that had been located. The RCC stated that staff continue to take (R1) for walks and confirmed that (R1) has not tried to exit from the facility following the incident on May 26, 2026. The RCC stated that (R1) enjoys being with staff and always has a staff nearby them when in the common area.

Also discussed was the facility's Corrective Action Plan, submitted to the Department following a meeting on May 1, 2025. LPA discussed each of the ten points addressed in the plan with the RCC and confirmed the processes are currently in place and being followed. Also discussed was due to a change in staffing in 2025, there is still some legal review in process.

LPA toured the interior of the facility with the RCC and observed staff and residents to be engaged in activities and lunch preparations. LPA was advised there were currently (7 ) caregiver and Med-Tech staff, and (1) concierge present during the inspection. LPA did not observe any health/safety risk or personal rights violation present when touring.

There are no deficiencies issued in this report. Exit interview. Copy of report provided.