Facility Evaluation Report

On June 18, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management Visit to follow up on an incident that was reported by the facility. LPA met with Director of Sales, Anotonio Leon and Health Services Director, Cathy Nugyen and LPA explained the purpose of today's visit.

On My 27, 2025, the facility reported that resident #1 (R1) who resides in the Memory Care was escorted to the first floor for a holiday celebration and at 4:03PM, the caregiver who was providing supervision to R1 had to step away to assist another resident resulting R1 leaving the facility unassisted. At 4:10pm, the Engagement Director saw R1 outside of the community and was escorted by to the facility.

On June 5, 2025, Licensing Program Analyst (LPA) conducted a Case Management visit and interviewed facility director and collected documents.

According to the facility director, the caregiver who was supervising R1 was also providing supervision to 2 other residents and one of them needed to go to the bathroom so the caregiver took the resident to the bathroom and did not endorse it to anyone else to watch R1, therefore, R1 left the facility unattended. The facility director acknowledged that the front door should have been closed at all times but there were a lot of foot traffic due a holiday celebration so R1 most likely got out from that door.

Based on the documents provided by the facility, R1 has a diagnosis of moderate late onset Alzheimer's Dementia, not able to leave the facility unattended and wanders into exit doors and needs redirection.

Based on the above observation, deficient is cited under California Health and Safety Code on the LIC 809D. Failure to correct the deficiencies may result in civil penalties.

Report was discussed and reviewed with the directors.

A copy of this report and the Appeal Rights was provided.