Facility Evaluation Report

On 07/10/2026, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conduct a Case Management visit regarding the incident of resident R1 eloping from the facility on 04/30/2026, unattended. LPA discussed with House Manager, Maggie Perri, via phone. Report signed by staff member,

The self-reported incident report states that R1, a newly placed resident of facility, was sitting in the living room and somehow exited the facility when staff were assisting other resident. Four (4) caregivers, the groundskeeper, and neighbor searched the facility and grounds. House Manager and Sheriff were contacted, arrived on scene and helped in the search. Neighbor located R1 and contacted the facility. Sheriff picked up R1 and returned to facility without incident. R1 was assessed and found to have no injuries.

LPA reviewed R1’s Physician’s Report (LIC602) which indicates R1 has Dementia and is unable to leave the facility unassisted. (Deficiency cited).

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and/or the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.

An immediate civil penalty is being issued in the amount of $500 per Health and Safety Code 1568.0822(C)(3) Absence of Supervision.