Senior Care Records.

Facility Evaluation Report

Wrc-1, Ben Lomond07/24/2025Licence 445200582

Capacity34
Census32
Date signed07/24/2025 10:01:12 AM
Name of licensing program analystMarcella Tarin
Name of licensing program managerJin Jackie
The inspector’s account

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a Case Management-Incident visit. LPA met with Administrator (ADM) Mark Vasquez. LPA stated the purpose of the visit.

On 7/23/2025 the Department received an incident report for Resident R1 not returning back to the facility by curfew of 11PM on 7/22/2025. The incident report states local police and R1's responsible parties were notified of the incident.

LPA interviewed 2 staff, and toured 1 resident room. LPA requested documentation including but not limited to physician's reports and service plans.

Based on review of R1's physician's report dated 1/23/2025, R1 can leave the facility unassisted. Based on interviews, ADM states R1 was located safely outside of the community on 7/23/2025 and R1's responsible parties have been notified.

LPA determined this incident does not require additional investigation.

No deficiencies were cited during today's visit per California Code of Regulations, Title 22. An exit interview was conducted with ADM and a signed copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction