Incident investigation·August 19, 2025

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced Case Management - Incident visit. LPA was welcomed by and identified herself to Administrator Becky Rayo and discussed the purpose of the visit. Today's visit was in response to an LIC624 Incident Report, which licensee self submitted to the CCLD San Diego Regional Office (received on 8/18/2025). According to the LIC624: on 8/16/2025, Resident #1 (R1) signed out to leave the facility's logbook at 1:40PM and did not return. [See LIC 811 Confidential Names List for a description of R1.] The facility is not a locked facility, and per the admissions agreement, residents are allowed to come and go freely but they must sign in and out of the logbook. As of today’s visit, R1 has not yet returned to the facility. LPA performed a facility tour and welfare check on the other remaining residents in care, finding no immediate health or safety concerns. LPA also reviewed pertinent records and interviewed relevant staff. According to R1’s latest LIC602 Physician’s Report (dated 7/21/2025): R1’s primary diagnoses is schizophrenia and hypertension. Their physician determined that R1 was able to safely leave the facility unassisted. (Continued on LIC809C) (Continued from LIC809) According to the facility’s Absentee Notification Plan: The Administrator of the facility or his/her designee, will inform the resident's authorized representative, if any, when the resident is missing from the facility. In addition, the Administrator or designee will notify local law enforcement when there is a reason for concern, or within 24 hours. For residents with a Dementia diagnosis, facility will notify law enforcement within 30 minutes after facility and neighborhood search. The policy will be updated on all Needs and Service Plan. Records and interviews revealed: R1 had lived at the facility since 7/22/2025 and this is R1's first time leaving the facility and not returning. Facility staff called law enforcement and notified R1’s responsible person and case manager. Facility staff conducted a search of the surrounding area when R1 was not present for dinner. At about 8PM, after unsuccessful searching, the Administrator filed a missing person’s report with law enforcement and telephoned R1’s responsible person and case manager to notify them. CCLD concluded: Facility staff provided needed supervision to R1 leading up to the incident. Licensee had a written Absente e Notification Plan as part of R1’s record of care, and staff followed this plan. No deficiencies were cited for the above incident. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Administrator Becky Rayo, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.