complaint·February 23, 2026

Review of R1's documents reveal that R1 has a medical diagnosis that requires staff supervise and monitor of R1, dated 5/17/24. Interviews with staff show that on 02/12/26 R1 left the facility without the knowledge of staff and did not return until off-duty staff S2 observed R1 wandering in the local market at 4pm and notified the facility staff, law enforcement were notified. The facility staff and law enforcement brought R1 back to the facility at 510pm, conducted body check for injuries. No injuries to R1’s person. No Police Report was made. Last time staff observed R1 was during lunch when R1 was escorted back to their room. S4 was not aware of residents' elopement until the facility was notified and search for resident was announced. S4 had left the front desk to collect copies from the printer and did not observed resident leaving the facility unassisted. Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. Exit interview was conducted with Administrator Jennifer Zhang. Copy of reports LIC-9099, LIC-9099C, LIC-9099D and LIC 421IM along with appeals were provided.