Facility Evaluation Report

On 04/08/2026, Licensing Program Analyst (LPA) Aziz Faizi conducted an unannounced case management visit to the facility to follow up on an Unusual Incident/Injury Report (LIC 624) submitted by the facility reporting an incident involving Resident 1 (R1). LPA met with Executive Director, Marie Hill who was informed of the purpose of the visit.

The LIC 624 reported the following information. On 04/03/2026, At approximately 6:20 pm staff received a call that R1 was found outside at the church located near the facility.

Staff immediately went outside to check and upon arrival resident was observed outside of the facility. Staff redirected R1 back inside the facility after multiple attempts.

Executive Director was interviewed and reported the following information. The doors of the facility are kept closed and were checked in the morning and in the afternoon before residents were allowed to be in the East wing of the facility and found to be secured. There were concerns of the residents according to the Executive Director.