Fire safety and emergency preparedness
Cited in 2 reports, with 5 deficiencies in total.
WHITE ROSE MANOR
313 SHEILA COURT, Petaluma CA 94954
6 bedsLatest official report Mar 24, 2026Licensed
Additional info
- Telephone
- (707) 776-0858
- Licensee
- WHITE ROSE MANOR, LLC
- Administrator
- REMOLLO-SANTOS, GEORGIANA
- Contact
- REMOLLO-SANTOS, GEORGIANA
- License first date
- Mar 25, 2005
- License effective date
- Mar 25, 2005
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 7 Type A and 15 Type B deficiencies for this facility.
- Most recent inspection
- Mar 24, 2026
- Most recent deficiency
- Mar 24, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 111 Sonoma County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 9 reports for this facility: 9 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 15 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 9
- Recorded deficiencies
- 22
- Type A deficiencies
- 7
- Type B deficiencies
- 15
- Substantiated complaints
- 0
- Repeated topics
- 4
More than the typical 5
2 in the last 12 months
Well above the typical 4
14 in the last 12 months
Well above the typical 1
3 in the last 12 months
Well above the typical 2
11 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Food service
Cited in 2 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 2 reports, with 3 deficiencies in total.
Resident rights
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.269(a)(8)
- Regulation authority
- HSC
What the official deficiency says
§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (8) To make choices concerning their daily life in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview, the licensee did not comply with the section cited above in that R1 reported they were confined to their room during the hours of 1pm-3pm, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/31/2026 Plan of Correction Facility to submit LIC9098 self-ceritfying they will at all times provide for the personal rights of all residents, by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview and record review, the licensee did not comply with the section cited above in S2 did not have fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction Facility to self-certify on LIC9098 that S2 will not be present at the facility in any capacity until fingerprint clearance is obtained. LIC9098 due by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(1)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, the licensee did not comply with the section cited above in that R1 had prescription for Doxycycline Monohydrate 100mg, that was not listed on the Centrally Stored Medication Log (CSML) and R3 did not have a CSML, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction Facility to submit plan to conduct medication training for a duration of no less than 2 hours. Training to be completed by no later than 4/7/26. Note: medication training completed for defiecncy of HSC1569.69 can also fulfill the plan of correction for this defiecny of 87456(h)(1)
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in thatt LPA observed medication cabinet to be open and unlocked, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction Facility to self-certify on a LIC9098 that they will ensure medication cabinet remains locked and medications inaccessible to residents in care by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and interview, the licensee did not comply with the section cited above in that tile around kitchen sink is in disrepair and showing areas of black and gray substance, under kitchen sink mold all over: plywood has mold and has rotted, sides of the cabinet have mold, garbage disposal is rusted, and water lines rusted, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2026 Plan of Correction Facility to submit work order and paid invoice from professional repair company showing all mold has been removed, sink repaired and no longer leaking, disrepair bordering right hand side of sink repaired and free of black and gray substances by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S6 did not have a health screen or TB clearance on file, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/07/2026 Plan of Correction Facility to submit Health Screen and TB clearance for S6 to CCL by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S6 did not have any training completed on file, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2026 Plan of Correction Facility to submit training records for S6 in complaince with Health and Safety Code 1569.625(b)(1) by plan of correction due date, including required subject matters.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.696(a)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S3, S4, and S5 did not have required restricted conditions training, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/07/2026 Plan of Correction Facility to submit training log/certificates for S3, S4, and S5 showing completion of restricted conditions training by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S5 and S6 did not have 10 hours of initial medication training, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/07/2026 Plan of Correction Facility to submit training log/certificates for S5 and S6 showing completion of 10 hours of medication training by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S3 and S4 did not have 8 hours of in-service medication training completed, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/07/2026 Plan of Correction Facility to submit proof of 8 hours of medication training for S3 and S4 by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87219(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that LPA observed residents lying in bed staring at the wall or ceiling. No activites provided. LPA did not observe residents engaged in any activities for the duration of both LPA's visits, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/31/2026 Plan of Correction Facility to submit to CCL proof of purchase or pictures of items in use that provide cognitive, mental, or sensory stimulation for residents by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(9)
- Regulation authority
- CCR
What the official deficiency says
(9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that LPA observed carton of 150 eggs left outside of refrigeration inside garage in 96 degree F heat, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/31/2026 Plan of Correction Facility to self-certify on a LIC9098 that they will store all food in a way that protects the safety and nuttritive value of the food by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(21)
- Regulation authority
- CCR
What the official deficiency says
(21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and interview, the licensee did not comply with the section cited above in that LPA observed refrigerator in garage containing food to not be cool and was leaking, no thermostat present, so no temperature reading available. Facility has two [2] refrigerators and one freezer. Per designee, the other refrigerator has also been leaking and licensee is aware, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/31/2026 Plan of Correction Facility to submit proof of purchase or proof of repair of refrigerators by plan of correction due date. Invoce or work order will be accepted as proof of purchase or repair.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that R1 has full bed rails on bed but no exception on file, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/31/2026 Plan of Correction Facility to submit proof of removal of full bed rails for R1 by plan of correction due date. Pictures will be accepted as proof.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Designee's observation, the licensee did not comply with the section cited above as lock on knife drawar in kitchen was broken (see pics), and cleaning supplies (bleach) (see pic) were in garage, unlocke & detergent was in uncovered cup under sink in resident bathroom which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction LIcensee/designee to submit docuement 9098 to CCL they understand the regulation by POC due date 1/4/2024 and complete traininng with staff on regulations and submit title of training with staff signed, dated documentation by POC due date 1/19/2024 and picture of fixed lock. Designee immediately removed knives in drawer and placed in secure area and removed toxins from bathroom and garage and put in locked cabinit in garage.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 6 out of 6 residents which poses an immediate health, safety or personal rights risk to persons in care. LPA observed during tour of the facility medications in unlocked medication refrigerator. (see pictures)
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction Licensee/Designee to submit plan of how they will keep refrigerated medicaitons locked and secured from residnets, following regulation by POC due date 1/4/2024 and submit proof (pic) of secured medications by POC due date 1/5/2024.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(25)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in 1 out of 1 cabinet under kitchen sink contained cleaning products and onions, potatoes, and other food items etc.. which poses/posed a potential health, safety or personal rights risk to persons in care. Designee immedicately removed cleaning products to locked garage cabinet.
Official plan of correction
POC Due Date: 01/12/2024 Plan of Correction Designee/facility, agrees to conduct training on storage of food and not being kept with soaps, detergents, cleanign compounds,etc and send training with staffs signed, dated document to CCL with form LIC9098 by POC due date to clear deficiency.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87467(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87467(a)(3)The licensee shall arrange a meeting with the resident and appropriate individuals to review and revise the written record as specified, when there is a significant change in the resident’s condition, or once every 12 months, whichever occurs first. This requirement is not met as evidence by: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not review & update the written needs & care assessment in the last 12 months in 4 of 6 residents which poses a potential health, safety risk to residents in care. LPA review records for resident R1, R2, R3, & R4 and learned that needs & services plans all dated 2022..
Official plan of correction
POC Due Date: 01/19/2024 Plan of Correction Licensee to ensure that all residents Appraisals Needs and Service Plans are current, updated, & done as frequently as necessary for all residents to ensure that residents are receiving the appropriate level of care needed. Licensee must review Needs and Service Plan with staff, resident and their responsible parties. Licensee update plans and to obtain necessary signature of all parties. and submit a copy of R1-R4 updated care plan to CCL by POC date of 1/19/24.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by: Based on interview, the licensee did not comply w/section cited above in 1 of 1 facility drill which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/12/2024 Plan of Correction Facility to ensure that facility will conduct quarterly disaster drills as required by Health & Safety Code. Licensee to submit to CCL proof of disaster drill conducted with the facility by POC date of 1/12/2024
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on residents' file review the licensee did not have annual medical assessment (602) for 1 out of 4 residents w/ dementia which poses a potential health, safety risk to residents in care. LPA reviewed files for residents on 1/3/24 and learned that R1's last Physicians assessment was on 10/25/2022.
Official plan of correction
POC Due Date: 01/19/2024 Plan of Correction Licensee to ensure reappraisals & medical assessments are done, review and update to ensure all resident's needs are met annually and/or if there is a change of condition, whichever comes first. Licensee to submit copy of an updated medical assessment for resident R1 by POC date of 1/19/2024.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire dpt...This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Licensee/Administrator did not comply with the section cited above in 1 out of 1 fire extinguisher was not serviced since January 24, 2022 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction Licensee/Administrator will contact the Fire Department to have fire extinguisher serviced. Administrator agreed to submit self-certification form as a proof of Correction (POC) that fire extinguisher have been serviced and charged by a fire extinguisher service company or the Fire Department by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465(h)(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation of medicaiton in 2 unlocked kitchen drawers, medications are accessible to residents in care. This is an immediate Health and Safety risk to residents in care.
Official plan of correction
POC Due Date: 01/18/2023 Plan of Correction Licensee agrees to submit self certification that all medications are locked and inaccessable to residents in care. Licensee agrees to submit POC to CCL by 01/18/2023. And LIcensee agrees to submit document with title of training and signature sheet by staff and dated to CCL by POC 01/18/2023.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology