286804069-2-4-2026-21-AS-BMOS-DTTRXR-20260506132506

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 286804069
Report Date: 02/04/2026
Date Signed: 02/04/2026 03:02:03 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2026 and conducted by Evaluator Julie Florio

COMPLAINT CONTROL NUMBER: 21-AS-20260130150310

FACILITY NAME:	INN ON VILLA LANE, THE		FACILITY NUMBER:	286804069
ADMINISTRATOR:	DORLA LICAUSI		FACILITY TYPE:	740
ADDRESS:	3255 VILLA LANE		TELEPHONE:	(707) 252-3333
CITY:	NAPA	STATE: CA	ZIP CODE:	94558
CAPACITY:	86	CENSUS: 77	DATE:	02/04/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Dorla Licausi, Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not keep the facility clean and sanitary

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 02/04/2026, at approximately 10:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to initiate a 10-day complaint investigation and deliver complaint investigation findings regarding LIC802 - Complaint Report #21-AS-20260130150310, which was received by Community Care Licensing (CCL) on 01/30/2026. Reporting Party (RP) alleges that staff do not keep the facility clean and sanitary. LPA met with Dorla Licausi, Administrator.

During inspection, LPA completed a walk through of the facility with Administrator and made observations. LPA found the facility to be clean and sanitary and witnessed housekeeping cleaning resident rooms. Based on an interview conducted with Administrator, residents' rooms are cleaned weekly. At minimum, this includes: vacuuming, mopping, dusting, beds are stripped and sheets and towels are washed. Kitchen's and bathrooms are cleaned weekly as well.

Continued on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 21-AS-20260130150310

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: INN ON VILLA LANE, THE	FACILITY NUMBER: 286804069
	VISIT DATE: 02/04/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC9099...

Additionally, residents' trash is checked on each shift (three times per day) and is dumped if needed. Residents' personal laundry is washed by the care staff once per week. The hallways are cleaned on the days when housekeeping is scheduled to clean the rooms in that wing and more frequently if needed. If anything needs to be addressed and cleaned, it is dealt with immediately. The other common areas and public restrooms are cleaned daily. LPA obtained cleaning schedules for the month of February 2026 which confirm the cleaning schedule reported by Administrator. These schedules reflect that the facility has three full-time housekeeping staff: one focuses on the memory care unit and the other two focus on the remainder of the facility.

Based on interviews conducted, observations made, and records obtained, the allegations that staff do not keep the facility clean and sanitary is UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited.

Exit interview conducted with Administrator, whose signature on form confirms receipt of document(s).

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2