complaint·April 2, 2026

On 04/02/2026, Licensing Program Analyst (LPA) V Gorban visited the facility to commence complaint investigation. LPA met with the Health and Wellness Director Lupe Fierros stated the purpose of the visit and allowed entry. Administrator was notified of Licensing visit but was not able to attend it. During this visit of the complaint investigation, LPA conducted a tour of the facility, interior and exterior to ensure there is no potential or immediate health and safety risk at the facility, documents were reviewed, interview conducted, and information gathered. Allegation: Staff did not prevent resident in care from leaving the facility without supervision. Based on records reviews, resident with diagnose of dementia left facility unassisted and was located by local law enforcement and retuned to the facility therefore, the preponderance of evidence has been met, the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to health and wellness director, whose signature on this form confirms receipt of this report.