Facility Evaluation Report

Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a Case Management - Other visit and met with Assistant Administrator Christianne Salvador.

This visit was to conduct a follow up and gather more information regarding an Incident Report (IR) submitted by the facility on 4/3/2026. The incident report detailed a resident (R1) who eloped from the facility on 4/3/2026 afternoon. Per interviews, R1 was taken to the hospital on 4/3/2026 and after further outings with staff, returned and went into their room. Staff later discovered R1 had left the facility without staff knowledge and has not returned as of the date of this visit. Review of most recent LIC602-Physicians Report dated 1/2023 indicated that R1 is not able to leave facility unassisted. Review of R1 Care Plan dated 1/26 indicated R1 is very independent and review of Conservatorship Paperwork dated 10/25 indicated R1 has had their conservator lifted. Interviews with staff indicated R1 has not shown elopement behaviors at this facility, however, R1 does have a history of elopement from previous facilities.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. See LIC809D. Appeal rights were provided. Additional civil penalties may be assessed based on Health and Safety Code 1569.49(e) or (f), or 1548(e) or (f), 1568.0822(e) or (f).**

Exit interview conducted with Assistant Administrator, whose signature on form confirms receipt.