Facility Evaluation Report

On July 8, 2026, Licensing Program Analyst (LPA) Murial Han conducted a unannounced case management visit to follow-up on an incident that was reported by the facility. LPA was greeted by the receptionist and LPA explained the purpose of today's visit. The administrator was informed of LPA's visit over the phone by the med tech, Karis Caballero.

LPA received a tour from the med tech of the facility and at the end of the tour, the administrator designee, Jizzel Clement took over and assisted with the rest of the visit.

On June 17, 2026, the facility reported an incident that happened on June 16, 2026 concerning to resident #1 (R1) who was sitting in the patio around 3:15PM and at 3:30PM, staff noticed that R1 was missing. The incident report stated that staff checked R1's room but R1 was not there so they searched the entire facility and R1 was no where to be found. Subsequently, they called the local law enforcement and reported R1 being missing and at the same time, the local law enforcement informed them that they found R1 they were returning R1 back to the facility. The incident report also stated that a quick assessment of R1 was conducted and revealed R1 was at his/her baseline.

During today's visit, LPA observed R1 in the activity room to be calm, and pleasant. LPA interviewed the administrator designee who stated that at the time of the incident, the front gate was being repaired by an outside contractor and the contractor left it open resulting in R1 exiting the facility. The administrator designee stated that after the incident, the facility provided re-training to staff on elopement, R1's service needs and plan was updated and the administrator met with the outside repair company and reinforced resident safety expectations.

This report is reviewed and discussed with Quality Assurance, Administrator Designee and Resident Care Coordinator.