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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 286804069
Report Date: 04/01/2025
Date Signed: 04/01/2025 12:06:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/23/2025 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20250123145755
FACILITY NAME:INN ON VILLA LANE, THEFACILITY NUMBER:
286804069
ADMINISTRATOR:DORLA LICAUSIFACILITY TYPE:
740
ADDRESS:3255 VILLA LANETELEPHONE:
(707) 252-3333
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:86CENSUS: 72DATE:
04/01/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dorla LicausiTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent resident from distributing marijuana products to residents in care
Residents have access to centrally stored medications
Staff are not able to provide adequate supervision to residents in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Executive Director Dorla Licausi, reviewed records and interviewed staff. Based on records reviewed, LPA was not able to find evidence so support the allegations listed above. Residents are allowed to leave the facility when they choose and to utilize recreational marijuana. LPA was not able to find evidence that residents were distributing marijuana products inside the facility. Based on records reviewed, there are many levels of care provided at the facility. Several residents are able to store and manage their own medications. Medications are secured in a locked drawer or when they leave their rooms by locking the door. LPA has made numerous visits to this facility and found the medication room to be secured when not occupied by staff. LPA conducted a review of staff schedules and found the facility is within regulation. When residents require additional assistance, staff are scheduled to assist. LPA did not find evidence that a resident who needed supervision did not receive it.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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