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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 286804281
Report Date: 09/30/2025
Date Signed: 09/30/2025 04:11:38 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
07/25/2025 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20250725125922
FACILITY NAME:CALLIGRAPHY NAPA VALLEYFACILITY NUMBER:
286804281
ADMINISTRATOR:WEGNER, GRANTFACILITY TYPE:
740
ADDRESS:4055 SOLANO AVETELEPHONE:
(707) 345-1480
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:240CENSUS: 167DATE:
09/30/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Grant Wegner, AdministratorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility staff did not dispense medications as prescribed
Facility staff yelled at residents
INVESTIGATION FINDINGS:
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On 09/30/2025, at approximately 10:30 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver complaint investigation findings regarding LIC802 - Complaint Report #21-AS-20250725125922, which was received by Community Care Licensing (CCL) on 07/25/2025 regarding the allegations that facility staff did not dispense medications as prescribed and facility staff yelled at residents. LPA met with Grant Wegner, Administrator.

On 07/31/2025, LPA Florio obtained documents and conducted interviews. Based on staff schedules obtained, staff interviews were conducted with Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), and Staff 4 (S4) which revealed conflicting statements about the staff not dispensing medications as prescribed and staff yelling at residents.

continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
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-20250725125922
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: CALLIGRAPHY NAPA VALLEY
FACILITY NUMBER: 286804281
VISIT DATE: 09/30/2025
NARRATIVE
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continued from LIC9099...

On 09/30/2025, LPA conducted further interviews with S1 and Resident 1 (R1) who was named in the complaint and both denied any knowledge of medications not being dispensed as prescribed since a prior allegation which was addressed under the facility's previous name Watermark on complaint #21-AS-20250224164341 which was received by the Department on 02/24/2025. Additionally, both denied any knowledge of staff yelling at residents. On 09/30/2025, LPA also obtained documents which revealed that none of R1's discontinued medications for a month prior to this complaint were administered after their discontinuation orders were received by the facility. Based on interviews conducted and records obtained, the department received conflicting information regarding the above allegations.

Based on interviews conducted and records obtained, the allegations that facility staff did not dispense medications as prescribed and facility staff yelled at residents are 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 Grant Wegner, Administrator, whose signature on form confirms receipt of documents.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2