Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to conduct a case management visit to follow up on an incident report regarding an elopement. LPA met with Administrator Jasmine Latu and stated the purpose of the visit.

On January 5, 2026, the Department received an Incident Report (IR) from the facility. The incident report stated, on January 4, 2026 at 9:55am, a staff member witnessed R1 come down the elevator to the lobby alone. Staff member redirected R1 to the elevator to return R1 to the memory care unit on second floor.

On January 5, 2026, LPA Manuel Monter interviewed ADM. ADM stated the elevator in the 2nd floor works once a staff member punches in a code, then they can go down. ADM stated that day, a staff member had punched in a code for a family to go down. ADM stated she was informed afterwards by that family that the resident joined them as they were going in the elevator. ADM stated the staff member who imputed the code should have waited for the door to close before leaving the area, to ensure no memory care resident sneaks in.

On January 11, 2026, The Department received an Incident Report regarding R1. The IR stated on January 12, 202, at 5:13am, R1 had eloped from the memory care 2nd floor. Staff heard the alarms from the staircase alerting someone had opened the door at 5:11am. Staff went downstairs and found R1 had made it downstairs and was in the parking lot. R1 was redirected back to the memory care unit.