Follow-up on corrections·March 5, 2026

Licensing Program Analyst Manuel Monter conducted an unannounced case management- deficiencies , regarding violations discovered during the complaint investigation for 26-AS-20250929092054. LPA met with Administrator Jolie Higgins Reporting Requirements During complaint investigation, The Department reviewed R1's progress notes. Progress note dated March 12, 2025 states, R1 is doing well after elopement. R1 did not him/herself, no injuries noted. R1 stated he/she was accompanied by a woman and that all he/she did was push buttons and stepped foot into the elevator. R1 went to receptionist and concierge alerted nurses. The Department reviewed resident R23 and R24's Progress notes. Progress note dated March 2, 2025 states staff S11, Heard commotion in the hallway. R23 was noted in the hallway in front of apartment door. Two residents were in the hallway being separated by 3 care givers. 1 care giver informed S11 that R24 had a knife and was trying to stab R23. S11 redirected R24 to his/her apartment. On February 25, 2026. LPA Manuel Monter requested documentation for the incident reports that were sent for the two incidents noted on the progress notes. LPA was informed on February 25, 2026, that the facility does not have documentation for both of these incidents. Page 1 Out of 2. Medication Errors During complaint investigation, LPA interviewed facility staff regarding medication errors regarding R1’s medication. Interviews with staff revealed potential medication errors, that were not associated with the complaint investigation. At this time, these instances of medication errors are under review and Department will conduct a follow up visit , if warranted. A technical violation and Deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Administrator Jolie Higgins and a copy of the report and appeal rights were provided Page 2 Out of 2. END OF REPORT