Follow-up·February 3, 2026

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a case management-other to follow up on a pending death certificate for resident (R1) and updated information regarding the status of their change of ownership application and met with Administrator Robinson Cirineo. On 9/15/25, there was an informal office meeting at the Santa Rosa Regional Office with the Department's Licensing Program Managers, Licensing Program Analysts and the Licensee of the facility Josephine Credo. During the meeting it was agreed that the Licensee will be submitting a change of ownership application with new corporation or LLC to the Centralized Application Bureau (CAB) for the three facilities (Five Palms Care Home #496803300, Valley View Care Home #496803362 and Chanate Care Home #496801588) by not later than 10/13/25. On 10/13/25, the Licensee requested a proof of correction (POC) extension until 11/10/25 due to the submission of application packet for J&J Assisted Living, LLC was facing two-sensitive external delays, one external delay was with the documentation submitted to the Franchise Tax Board (FTB) and their application were not complete. On 10/14/25, LPM Bertozzi approved a POC extension to 10/31/25, but a new extension was requested and LPM granted a new extension date to 11/7/25. However, the Licensee requested an new extension date indicating that the FTB process will take about four to six weeks to process it and CAB advised the Licensee to not submit an application until their FTB issue was resolved. Continued on LIC809C... Continued from LIC809... Furthermore, Licensee agreed to LPM's Bertozzi instructions to provide an update every Friday by the close of business (5:00pm) until the payment has been processed. However, the Licensee has not been submitting an update to the Department weekly as agreed to LPM Bertozzi. On 1/7/26, it was the last documented written communication submitted by the Licensee to the Department providing an update regarding the status of their FTB filing for their LLC is still pending. During today's visit, LPA Cuadra requested an update of their FTB process staus. Per Licensee, on 1/27/26 FTB processed their payment and are currently reviewing their documentation, which it could take up to 10 to 14 days for their website to update and show their LLC as active. LPA inquired about the lack of weekly communication with the Department to notify about current status as instructed by LPM. The Licensee did not provide a reason for the delay of communication with the Department, but agreed to submit weekly updates on Fridays as previously agreed. Regarding the status of death certificate for R1, the Licensee indicated that they are still expecting the certificate to be obtained by R1's family, but they agreed to follow up and submit to CCL as agreed as soon as they received it. No deficiencies cited during today's visit. Exit interview conducted with Administrator and a copy of this report was given