Incident investigation·March 4, 2026

On 3/4/2026 at 3:35PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to an incident report. LPA met with Health Services Director, Paolo Valera and explained the purpose of the visit. Based incident report, resident (R1) exited the back door around 5:30PM and alarm was triggered via wander guard. Staff immediately responded by searching for R1 and found R1 in front of a restaurant. During visit, LPA interviewed staff and reviewed R1's file. LPA observed R1's physician's report stated that R1 can leave the facility unassisted. R1's care plan stated resident is to wear safety bracelet when in Assisted Living. LPA advised facility to update R1's physician's report due to R1's change in condition. Health Services Director is in communication with R1's family and will look into obtaining an updated physician's report. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.