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Inspection visit

Follow-up on corrections

FIVE PALMS CARE HOMELicense 4968033002 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Cuadra arrived unannounced to the facility to conduct a case management visit to cite deficiencies discovered during a complaint investigation and met with Josephine Credo, Licensee. LPA learned through records review and interviews conducted on 9/9/25 with Licensee that the facility failed to complete R1’s care plan reflecting services needed including fall risk, transfers and special diet as stated in R1’s physician report (LIC602). During the investigation LPA reviewed records obtained from the facility and determined that elopement incident that occurred on 8/31/25 was not reported by the facility to the Department. **Civil Penalty assessed in total amount of $250.00 for repeated violation within 12 months. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.

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 other inspection of FIVE PALMS CARE HOME on November 14, 2025. 2 citations were issued: 2 Type B.

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

Yes, 2 citations were issued (0 Type A, 2 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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