Palms Court II

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Case Management - Deficiencies

On 6/18/26, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while investigating a complaint and met with Admin/ designee. While conducting complaint file reviews and interviews it was found that licensee had not followed through on agreed upon conditions set forth in a 5/20/26 office meeting for a change of ownership. MJ Cabrera was not designated as the administrator. S2 and S3 were not verified to be cleared and associated. MJ will submit transfer requests for himself and S3. Citation and civil penalties for failure to designate an administrator and S2 lack of criminal record clearance. S2 will move from the home until clearance is verified. As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed. Copy of report and appeal rights providedthe state’s words, verbatim · CDSS document, Jun 18, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Jun 19, 2026

Criminal Record Clearance(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 not met based on records. This posed an immediate risk.the state’s words, verbatim · CDSS document, Jun 18, 2026

Plan of correction: Licensee will submit a statement that S2 has moved from the home and verification of transfer request was submitted for S1 and S3 by the POC date of 6/19/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Jun 22, 2026

Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator.the state’s words, verbatim · CDSS document, Jun 18, 2026

Plan of correction: Licensee will submit a declaration of new administrator to CCLD by 6/22/26.

Type of visit: Case Management - Deficiencies

On 6/18/26, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while investigating a complaint and met with Admin/ designee. While conducting complaint file reviews and interviews it was found that licensee had not followed through on agreed upon conditions set forth in a 5/20/26 office meeting for a change of ownership. MJ Cabrera was not designated as the administrator. S2 and S3 were not verified to be cleared and associated. MJ will submit transfer requests for himself and S3. Citation and civil penalties for failure to designate an administrator and S2 lack of criminal record clearance. S2 will move from the home until clearance is verified. As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed. Copy of report and appeal rights providedthe state’s words, verbatim · CDSS document, Jun 18, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Jun 19, 2026

Criminal Record Clearance(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 not met based on records. This posed an immediate risk.the state’s words, verbatim · CDSS document, Jun 18, 2026

Plan of correction: Licensee will submit a statement that S2 has moved from the home and verification of transfer request was submitted for S1 and S3 by the POC date of 6/19/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Jun 22, 2026

Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator.the state’s words, verbatim · CDSS document, Jun 18, 2026

Plan of correction: Licensee will submit a declaration of new administrator to CCLD by 6/22/26.

Type of visit: Office

On 05/20/26 at 4:00 pm, a virtual office meeting was held with Sacramento North Regional Office using Microsoft Teams. Present in the meeting was: Licensee, Adeola Ogundiwin, Licensing Program Manager (LPM) Troy Ordonez, and Licensing Program Analyst (LPA) Graham Gunby. The purpose of today's meeting was to discuss a pending change in the facility's ownership. Also discussed is the facility's requirement to issue a notice to all residents and their responsible person(s) advising of the pending change in ownership, and how a copy of that notice needs to be submitted to the Department within (5) days of its issuance. LPM emphasized how communication needs to be ongoing with the Department during the ownership transition, and for any other significant changes, such as a change to the property ownership, and the facility's first point of contact is the assigned LPA. LPM requested copies of the Lease Agreement and Change of Ownership notification given to residents by 05/22/2026. A copy of this report was emailed to Adeola Ogundiwin, Licensee, following today's meeting. A signed copy will be returned to the LPA by COB 05/22/26. There are no deficiencies issued in this report.the state’s words, verbatim · CDSS document, May 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrator, Adeola Ogundiwin, and explained the purpose of the visit. LPA and Admin conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, garage, common areas and backyard. LPA observed required furniture, throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen sink at 115.5 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 11/26/24. LPA observed medications to be locked and inaccessible to residents in care. LPA reviewed two (2) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed one (1) staff records. Staff has training in dementia care, infection control, first aid and CPR. Deficiencies cited on 809-D. Exit interview conducted and a copy of the report will be emailed to admin.the state’s words, verbatim · CDSS document, Nov 12, 2025

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced to conduct an annual inspection. LPA met with Wendy Ulaba and Adeola Ogundiwin during today's inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed six (6) resident rooms and two (2) common area bathrooms. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and ready for resident use and hot water temperature was observed to be 113.0 degree F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Smoke detectors and carbon monoxide detectors are maintained in care home. First aid kit is maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed three (3) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited. Exit interview was conducted with Adeola Ogundiwin. A copy of this report provided.the state’s words, verbatim · CDSS document, Nov 21, 2024

The state marks this report as 8 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 01/24/2024 at 11:30 AM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA with staff and requested for staff to call and notify administrator of LPA's presence at the facility. Administrator arrived at a later time. LPA and administrator toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of one (1) week and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and is inaccessible to residents in care. The hot water temperature was measured in the kitchen at 105 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. LPA reviewed a total of two (2) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. Medications are centrally stored and locked. LPA compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of two (2) staff record. Staff has training in hospice, postural support, and other various areas of care provision. During today's visit, no deficiencies are being cited. Exit interview conducted and report provided.the state’s words, verbatim · CDSS document, Jan 24, 2024