Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley conducted a Case Management - Incident visit to follow up on a self-reported incident which took place on 1/4/2026. At 9:46 a.m. LPA Mosley was greeted by staff who called the Administrator. LPA met with Marisol Flamenco, Administrator and Magdalena Garcia, Assistant Administrator and the reason for the visit was explained. Entrance interview.

On 01/04/2026 it was reported that at approx. 3:20 p.m. Staff #1 (S1) called the Administrator to inform them that it has been about 15 minutes and Staff #2 (S2) has not yet shown up to their scheduled shift and they had to leave. At that time the Assistant Administrator made calls to find coverage and Administrator was less than 15 minutes away and drove to the facility. Once the Administrator arrived to the facility at approx 3:35 p.m. they noted seeing S1 on their bike two (2) houses down. The Administrator immediately checked on the welfare and well-being of the residents, no injuries or incidents were noted. The Administrator called Licensing leaving a voicemail briefly informing them of the incident and request a call back. Subsequently S1 was terminated for not following the facility policy : Residents Must Not Be Left Unattended and all staff received an in service training regarding the same policy.

During today's visit, from 9:50 a.m. LPA and staff conducted a physical plant tour to ensure there were no immediate health and safety concerns. Starting at 10:00 a.m and throughout the visit LPA conducted four (4) in person staff interviews including the Assistant Administrator and Administrator, four (4) resident interviews and record review along with obtained copies of pertinent documents relevant to the incident.