Incident investigation·April 23, 2026

On 04/22/2025 at 09:45 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check regarding an elopement as reported to the department by the facility through an Unusual Incident Report (LIC624) received by the department on 04/16/2026. LPA met with Administrator Ferdinand Gutierrez and explained the purpose of the visit. Administrator Ferdinand Gutierrez called Licensee/Administrator Victoria Puruganan, for a three-way call. LPA spoke with the Administrator regarding the elopement of a resident (R1). R1 has a Physician’s Report (LIC602) stating that the residents cannot leave unattended. Licensee/Administrator Victoria Puruganan informed LPA that the resident had earlier in the day spoken to R1’s case manager and was upset by that conversation. R1 went to Licensee/Administrator Victoria Puruganan later that day to have a further discussion. After leaving the facility’s office, R1 walked out the front door. Staff did not notice R1 had left for about thirty (3) minutes. Staff then went to look for R1 and called the police. Licensee/Administrator Victoria Puruganan informed LPA that R1 was moved out of the facility by R1's case manager. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. An immediate and repeat civil penalty of $1,000 is hereby assessed. Exit interview conducted. A copy of this report, LIC421IM and appeal rights provided.