Incident investigation·May 20, 2026

On 5/20/2026 at 1:00 pm, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 5/14/2026. LPA met with Tahmeya Stover, Program Supervisor and explained the purpose of the visit. Tahmeya phoned Precious Yepez, Administrator (ADM) and the ADM arrived shortly after. LPA received a self-reported incident report from the facility that indicated that on 5/13/2025, at around 9:30 pm, Resident 1 (R1) eloped from the facility. Interview with staff (S1), S2 and S3 revealed that R1 eloped by exiting through the back gate of the facility. Interview with S2 revealed that S3 offered R1 an alternative beverage and R1 got frustrated and began hitting their room door and cursing at staff. S2 and S3 stated that they were able to calm R1 down and R1 went to sit on the couch in the living room. S2 and S3 stated that R1 got up from the couch and walked towards the backyard and went outside. S2 stated that they tried to redirect R1 to come back inside but R1 grabbed a stick and aimed it at staff in an aggressive manner. S2 stated that R1 then ran towards the gate to exit the facility. S3 stated that S2 came to tell them that R1 had ran out of the facility but by the time staff went to look outside for R1, R1 had left the facility unassisted. S3 stated that they contacted the police. S2 stated that they drove around the neighborhood but could not find R1 so they returned back to the facility. S1 and S2 stated that R1 returned to the facility around 9:50 pm. S1 and S2 stated that after the incident occurred, staff completed a full body check on R1 and found no injuries. Continue on LIC809-C. Continued from LIC809. During record review, LPA observed R1's physician report dated 04/22/2026 indicates that R1 is unable to leave the facility unsupervised. LPA observed R1's Individual Behavioral Support plan dated 3/13/2026 indicates that staff are too maintain vigilant supervision of R1 while in the common areas of the facility, particularly when R1 is near exits. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty. Exit interview conducted with Precious. Appeal Rights and a copy of this report provided.