Incident investigation·October 28, 2025

On 10/28/2025, at approximately 9:30 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a case management - incident visit and met with Dorla Licausi, Administrator. LPA is conducting a case management visit to obtain more information regarding an incident report received by the Department on 08/28/2025 for an incident that occurred on 08/27/2025, involving Resident 1 (R1), a memory care resident, who eloped from the facility after attending a community event. Today, LPA conducted an interview with Staff 1 (S1) and obtained additional documents. Facility is being cited for not providing the services necessary to meet resident needs as evidenced by a lack of supervision while outside the memory care unit which led to R1's elopement from the community (see LIC809-D). The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and appeal of rights provided. Signature on form confirms receipt of documents.