Complaint·May 7, 2026

Investigation revealed the following: Allegation #1: Staff did not prevent a resident from eloping from the facility. On 2/6/2026 At 8:45 AM, LPA conducted interviews with staff members, and 3 out of 5 staff stated that R1 did elope from the facility without staff knowledge. The interview with Staff 1 (S1) confirmed that R1 had eloped from the facility without staff’s knowledge and was located at approximately 8:00 AM on the same day. Interviews with Staff 2–3 (S2–S3) revealed they were not scheduled to work during the incident; however, they reported hearing about R1 eloping from the facility. Staff 4–5 (S4–S5) also stated that R1 did elope from the facility on January 16, 2026, at approximately 7:00 AM and was found at approximately 8:00 AM the same day. LPA attempted to interview Residents 1–9 (R1–R9); however, they were asleep during the visit and could not be interviewed. LPA interviewed Resident 10 (R10), who stated they had left the facility but were unable to provide specific details about the incident. Resident 11 (R11) stated they have not left the facility but expressed a desire to return to their home. Based on interviews conducted, observations and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC-9099D. An exit interview was conducted, and a copy of the report was provided to Area Manager- Irene Formentera at the conclusion of the visit with appeal rights.