Incident investigation·April 23, 2025

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a Case Management visit. LPA met with Administrator (ADM) Josephine Arcilla. LPA stated the purpose of the visit. ADM stated the facility has 28 residents and 10 staff. On 4/16/2025 the Department received an SOC341 stating R1 had gone for a walk with Witness W1 on 4/14/2025 at approximately 4:45PM. The SOC341 states that R1 was found approximately 2 miles from the facility by an off-duty staff S1 on 4/14/2025 at approximately 6:20PM. The facility states W1 was recently diagnosed with neurocognitive disorder. LPA interviewed ADM. LPA reviewed R1's file to include physician's report, needs and service plan. LPA obtained the following documentation during the visit: R1's service plan, physician's report. ADM stated a Plan of Action will be submitted to the Department by 4/25/2025 to ensure the health and safety of R1. LPA determined that this incident requires further investigation. No citations were issued during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Administrator Josephine Arcilla and a copy of the report was provided.