Incident investigation·June 5, 2025

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Executive Director (ED) Meghian Geul. On 6/4/2025, the Department received an incident report that on 6/2/2025 around 7:20PM a memory care unit resident R1 was found outside the building of the facility. A independent living resident R2 escorted R1 back to the facility. A Med Tech (MT) was notified notified, MT escorted R1 back to memory care unit. R1 was observed without injuries. LPA interviewed Executive Director (ED), 2 resident (R1,R2), 4 staff (S1 - S4). LPA obtained R1's physician report and appraisal needs and service plan. LPA toured the memory care unit, two court yards, main entrance, and facility garage with ED. This case needs further investigation. Exit interview was conducted with ED. The report was provided to ED for review and signature. A copy of the report was provided to ED.