Facility Evaluation Report

On 7/3/2026, LPA Grace Donato conducted an unannounced case management visit in relation to an incident that occurred on 6/15/2026. LPA met with Wellness Director (WD) Rowena Cancino & Executive Director Anna Allas and explained the purpose of the visit.

An incident report was received by Licensing regarding a resident (R1) who was able to leave facility at around 3:30am. Resident was accompanied back by a police officer.

LPA reviewed the facility video and LPA observed R1 to be forcing the door open to go out the facility. R1 repeatedly forced open the door until it opened.

Based on interviews, WD mentioned that R1s routine is to play with the computer on the activity room around 3am then go back to the bedroom. Night staff, during this time, were doing routine rounds when R1 was observed not to be in the bedroom. Night staff right away went looking for the R1. Upon R1s return, staff assessed R1 and found no injuries. The facility has since updated R1s needs and services plan.

No citations issued today. Report is reviewed and copy is provided.