Facility Evaluation Report

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.