Skip to main content
ReadyRule homepageReadyRule

Inspection visit

complaint

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

Inspector’s narrative

What the inspector wrote

Continued from LIC9099... Interviews conducted with R1 who has some communication challenges confirmed the above information by using a board to communicate with LPA, R1 denied vomiting or buying/drinking alcohol. According to R1, they bought 7up soda and chips only. Based on records review, R1’s physician report dated 7/25/25 revealed that R1 is not able to leave the facility unassisted due to major neuro-cognitive disease, needs transfer assistance – sit to stand supervision using front wheel walker, fall risk, special diet order low in sodium. R1’s care plan dated 7/15/25 has not been signed by R1 or their responsible party as indicated by regulation. Also, R1’s care plan does not reflect services needed including fall risk, transfers and special diet. LPA will cite deficiency found in a case management visit including reporting requirements, because the Licensee did not submit an incident report after learning of R1’s elopement. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. The Department will review the information obtained to determine if any further action is needed.

Citations

3 citations 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.

  • 1569.269(a)(6)Type B

    Type B: 1569.269(a)(6) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on LPA’s record review and interview the facility failed by allowing R1 leave the facility unassisted on 8/31/25, when R1’s physician report states that R1 is not able to leave the facility unassisted which poses an immediate health and safety risk to residents in care.

  • 87211(a)(2)Type B

    Type B: 87211(a)(2) 87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports..: (2) Occurrences, such as...major accidents which threaten the welfare, safety or health of residents..., shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This rerquirement was not met as evidence by: Based on LPA’s record review and interview, the facility failed to submit an incident report when R1 went AWOL on 8/31/25 which possessed a potential health and safety risk to residents in care.

  • 87457(c)Type B

    Type B - 87457 Pre-Admission Appraisal 87457 Pre-Admission Appraisal: (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria… This requirement is not met as evidenced by: Based on records reviewed, Licensee did not complete an evaluation of resident’s condition prior to admission and keep it in the file 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 November 14, 2025 inspection of FIVE PALMS CARE HOME?

This was a complaint inspection of FIVE PALMS CARE HOME on November 14, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to FIVE PALMS CARE HOME on November 14, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Type B: 1569.269(a)(6) To care, supervision, and services that meet their individual needs and are delivered by staff th..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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