Incident investigation·December 3, 2025

On 12/3/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to an incident that occurred on 11/25/2025 in which a resident, R1 was able to leave the facility unassisted. LPA Calandra was greeted by Sayma Arnautovich, Director of Housekeeping an and explained the purpose of the visit. Daisy Dizon, Director of Memory Care arrived later during the visit. According to Sayma Arnautovich, Director of Housekeeping, R1 lives in a memory care apartment and frequently takes walks outside of the community in a gated outdoor space. On 11/22/2025, R1 walked out of their apartment and walked towards a gated outside space. From there R1 was able to leave the facility unassisted and was found four hours later by staff with no apparent injuries when they returned to the facility front steps. Based on observations, and interview, all door alarms and delayed egress systems were working properly. LPA requested a copy of R1's LIC 602 Physician's report. According to the medical assessment which was dated last year, R1 is not at risk if allowed to leave the community unsupervised due to dementia or cognitive decline and is not a wander risk. LPA received a copy of the physician's report and last doctor's visit record during the visit. No deficiencies cited during today's visit. An exit interview was conducted. A copy of this report along was provided.