Senior Care Records.

Facility Evaluation Report

Five Palms Care Home, Santa Rosa11/14/2025Licence 496803300

Capacity23
Census19
Date signed11/14/2025 11:06:50 AM
Name of licensing program analystMarisol Cuadra
Name of licensing program managerBethany Moellers
The inspector’s account

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.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction