Facility Evaluation Report

Licensing Program Analyst (LPA) Conducted an unannounced Plan of Correction visit to follow up the case management conducted on 2/19/2025, and met with Executive Director (ED) Benito Del Toro and Wellness Director (WD).

The facility was cited as Title 22 section 87468.1(a)(2) Personal Rights of Residents in All Facilities . Licensee did not provide the necessary care and supervision to meet R1's care needs, which resulted in R1's elopement from the facility on 1/18/2025,

On 2/20/2025, the Department received the Plan of correction from WD.

LPA checked the new alarm system in memory care unit with ED and WD. The facility adds a secondary alarm for each exit door to make the volume of the alarm louder. LPA discussed resident R1's updated Service plan with WD. LPA discussed the facility staff response protocol with ED and WD. LPA reviewed the facility staff training log for elopement and the staff drill log for elopement. LPA discussed the facility door check protocol with ED and WD.

toured the facility with ADM. The facility has 4 resident bedrooms, 2 staff rooms, 3 bathrooms, living room, family room, kitchen, dining area, and laundry room.

Exit interview was conducted with ED. The report was provided to ED for review and signature. A copy of the report was provided to ED.