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Inspection visit

Office review

FIVE PALMS CARE HOMELicense 4968033001 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

An informal meeting was conducted today in the Santa Rosa Regional Office. Present at the meeting were Licensing Program Managers Bethany Moellers and Victoria Bertozzi (via Microsoft Teams), Licensing Program Analysts Christi Coppo, Robert Frank, Marisol Cuadra (via Microsoft Teams) and Licensee of the facility, Josephine Credo. On 9/10/25, The Licensee submitted written communication via email to the Department requesting information regarding change of ownership. Currently, LIC309 Administrative Organization form indicates that these facilities are in a sole proprietorship. According to the Licensee, their accountant has advised them to switch it to a limited liability company (LLC) where Josephine Credo will be the Licensee in LLC of these facilities. The purpose of the office meeting was to address concerns and discuss the change of ownership for Five Palms Care Home #496803300, Valley View Care Home #496803362 and Chanate Care Home #496801588 in which Josephine Credo is the identified Licensee. As of today’s date, a new application has not been submitted to the Department. License acknowledges that they are responsible for the operation until the new application is approved and issued. The Licensee agrees to provide documentation to ensure control of property. The Licensee confirms understanding that the current license is not transferable and an application is required to be submitted to the Department for change of ownership. Also, areas of concern regarding training materials that are not updated and reporting requirements. The current options discussed during today’s office meeting are the following: -Submit a change of ownership application with new corporation or LLC to the Centralized Application Bureau (CAB) for the three facilities by not later than xxx, 2025. CAB contact information was provided. -Also, it was agreed to review reporting requirements regulation (87211), and they will conduct all staff training to address ongoing reporting requirement issues by not later than xxx, 2025. -The Licensee agrees to review current training materials and trainers been used to train staff and they will upgrade them if needed. No deficiencies cited during today's meeting. Copy of report discussed and provided to Administrator Credo. Signature on form confirms receipt of documents. ...Continued from 809 before proceeding with Centralized Application Bureau. LPM Bertozzi advised to update their Plan of Operation. To be included in the new Plan of Operation licensee will need to reference what training will be provided to staff. Submit a change of ownership application with new corporation or LLC to the Centralized Application Bureau (CAB) for the three facilities by not later than 10/13/25. CAB contact information was provided. -LPAs reviewed reporting requirements regulation (87211), and gave copy to LLC. -The Licensee agrees to submit current training materials and a plan of how she will utilize the new vendor for staff training. Licensee to submit course contents from new training vendor, by no later than 9/22/25. LPM Moellers offered TSP, licensee agreed to participate. Deficiencies are cited from the California Code of Regulations (CCRs), Title 22, Division 6, Chapter 8 and the Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Appeal Rights Given. Exit interview conducted with Licensee and a copy of this report was given

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87109(b)Type B

    87109 Transferability of License(b)The licensee shall notify the licensing agency and all residents receiving services, or their representatives, in writing as soon as possible and in all cases at least thirty (30) days prior to the transfer of the property or business... This requirement is not met as evidenced by: Based on interview & record review, the licensee did not comply with the section cited above in the licensee did not notify Community Care Licensing within thirty (30) business days of the transfer of the facility to a Limited Liability Corporation which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 15, 2025 inspection of FIVE PALMS CARE HOME?

This was a other inspection of FIVE PALMS CARE HOME on September 15, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to FIVE PALMS CARE HOME on September 15, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87109 Transferability of License(b)The licensee shall notify the licensing agency and all residents receiving services, ..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.