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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496800621
Report Date: 03/12/2025
Date Signed: 03/12/2025 01:08:54 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
03/11/2025 and conducted by Evaluator Dina Alviso
COMPLAINT CONTROL NUMBER: 21-AS-20250311162219
FACILITY NAME:WIMBLEDON HOUSE #1FACILITY NUMBER:
496800621
ADMINISTRATOR:BARONI, PIA E.FACILITY TYPE:
735
ADDRESS:629 WEST 3RD STREETTELEPHONE:
(707) 527-7628
CITY:SANTA ROSASTATE: CAZIP CODE:
95401
CAPACITY:5CENSUS: 4DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Pia Baroni-AdministratorTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Young adults playing with firearms in the backyard
Adults yelling and screaming out front of the facility
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Alviso and Arnhold arrived unannounced to conduct a complaint investigation, on 3/12/25 at approximately 11:30am, and met with Administrator/Licensee Pia Baroni. There were two staff on-site with the Administrator.

It was alleged that "young adults playing with firearms in the backyard, and adults yelling and screaming out front of the facility". LPA Arnhold toured one of the buildings outside of the home that is the Administrators personal space; It was observed that there was a key pad lock and it was locked and inaccessible to residents in care. Administrator stated that they store their pellet guns/air rifle guns in this space, but Administrator was not able to find them during the inspecetion. Administrator stated that the pellet/air rifle guns are used because of the gopher problem in the large yard. Staff, S3, was with Administrator's family members, young adults, instructing them on pellet/air rifle gun safety in using them, and was practicing shooting them. S1, S2, and S3 stated that no residents were in the vicinity when S3 was instructing the young adults with the pellet/air rifle use. Staff S1, S2, and S3, all stated there was no incident that occurred of adults yelling and screaming in front of the facility.
Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
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-20250311162219
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: WIMBLEDON HOUSE #1
FACILITY NUMBER: 496800621
VISIT DATE: 03/12/2025
NARRATIVE
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LPAs didn't observe any air guns/pellet guns during the inspection. LPA's were informed by Administrator that law enforcement came to the facility due to the report of people with guns. The law enforcement officer said there were no issues because they were shooting in a safe direction on their own property. There was no information obtained to support a violation had occurred regarding the allegations.

Based on the interviews and related information obtained during the investigation, the allegations of "young adults playing with firearms in the backyard, and adults yelling and screaming out front of the facility" is Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies cited.
Exit interview was conducted with the Administrator Pia Baroni.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2