FIVE PALMS CARE HOME

1217 LANCE DRIVE, Santa Rosa CA 95401

Facility 496803300 · RESIDENTIAL CARE ELDERLY (740)

23 bedsLatest official report Jul 31, 2026Licensed

Additional info
Licensee
CREDO, JOSEPHINE R.
Administrator
ROBERTSON CIRINEO
Contact
ROBERTSON CIRINEO
License first date
Apr 19, 2011
License effective date
Apr 19, 2011
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 12 Type A and 12 Type B deficiencies for this facility.

Most recent inspection
Jul 31, 2026
Most recent deficiency
Jun 10, 2026

1 later report, on Jul 31, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

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 8 Sonoma County facilities licensed for 16 to 49 beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 27 reports for this facility: 20 inspections, 5 complaint investigations, and 2 licensing or administrative records.

Those records contain 12 Type A and 12 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
20

More than the typical 9

9 in the last 12 months

Recorded deficiencies
24

Well above the typical 9

13 in the last 12 months

Type A deficiencies
12

Well above the typical 4

3 in the last 12 months

Type B deficiencies
12

Well above the typical 5

10 in the last 12 months

Substantiated complaints
2

About the same as most this size

1 in the last 12 months

Repeated topics
4

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Resident rightsType B
Official classification
Type B
Official code
1569.269(a)(6)
Regulation authority
HSC

What the official deficiency says

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.

Official plan of correction

Licensee agrees to review the elopement plan for the facility addressing frequency of awol drills for staff. Facility to submit an LIC 9098 self-certification that Licensee has review elopement plan with frequency of awol drills for staff due by POC date.

Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Nov 26, 2025
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(a)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, & competent to provide the services necessary to meet resident needs. In facilities licensed for 16 or more, sufficient support staff shall be employed to ensure provision of personal assistance/care… This requirement was not met as evidence by: Based on interviews conducted with staff, the licensee did not ensure residents with a diagnosis of dementia needs were met timely as stated in their program plan due to the staff was not alerted that emergency personnel were knocking and ringing the doorbell in the front entrance of the facility, which poses an immediate risk to the health and safety of residents who has a diagnosis of dementia.

Official plan of correction

Licensee to provide CCL the written facility policy and/or protocol regarding how resident's needs including residents with a diagnosis of dementia are going to been met when the staff are in the back of the building by POC due date.

Deadline recorded: Nov 17, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Nov 17, 2023
Correction not verified in available records
View official 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