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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 286801070
Report Date: 10/07/2025
Date Signed: 10/07/2025 03:56:27 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
07/29/2025 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20250729143855
FACILITY NAME:MEADOWS OF NAPA VALLEY, THEFACILITY NUMBER:
286801070
ADMINISTRATOR:KRISTINE MORROWFACILITY TYPE:
741
ADDRESS:1800 ATRIUM PARKWAYTELEPHONE:
(707) 257-7885
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:350CENSUS: 300DATE:
10/07/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Fe Au, Assisted Living Nurse ManagerTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not respond to residents call light in a timely manner.
INVESTIGATION FINDINGS:
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On 10/07/2025, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver complaint #21-AS-20250729143855 investigation findings regarding the above allegation and met with Fe Au, Assisted Living Nurse Manager. Reporting Party (RP) alleges that Staff 1 (S1) did not respond to residents call light in a timely manner.

LPA Florio conducted 10-day complaint investigation visit on 07/31/2025 and obtained documents, made observations, and conducted interviews. LPA conducted subsequent follow up visits on 09/29/2025 and 10/7/2025 where LPA obtained additional documents and conducted further interviews. It was revealed through review of S1's daily resident assignments and corresponding call light logs for six (6) shifts S1 worked between 07/14/2025 and 07/23/2025 that S1 responded to resident call lights in a timely manner with call light reset times averaging less than four (4) minutes.

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

DATE: 10/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2025
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-20250729143855
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: MEADOWS OF NAPA VALLEY, THE
FACILITY NUMBER: 286801070
VISIT DATE: 10/07/2025
NARRATIVE
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Continued from LIC9099...

Based on observations made, interviews conducted, and records reviewed, the Department received conflicting information regarding this allegation.

Based on interviews conducted and records obtained, the allegation that staff did not respond to residents call light in a timely manner 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 Assisted Living Nurse Manager, whose signature on form confirms receipt of document(s).
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2