Incident investigation·January 21, 2026

Licensing Program Analysts (LPAs) Julie Florio and Marisol Cuadra arrived unannounced to conduct a case management - incident inspection and met with Kristine Morrow, Administrator, Tracy Ferreira, Residents Service Coordinator and Justin Zackzewsky, Residents Services Director. LPAs are conducting a case management visit to obtain more information regarding an incident report received by the Department on 1/8/26 for an incident about car theft which occurred on 12/22/2025. LPAs have a conversation with Administrator regarding reporting requirements of notifying the Department within seven days of occurrence. According to incident report, on 12/22/25 at approximately 12:30pm, resident (R1) reported to staff that their car was missing. Per R1, they noticed the car was gone from their designated parking spot when they were attempting to go to a doctor's appointment that day. R1 stated that the car was locked and that no one else has access to the vehicle, R1 filed a police report - case# NPD-254952. During today's visit, LPAs learned that the facility is actively working with the Napa Police Department to help residents by re-educating them and conducting a presentation on 2/17/26, as well as transportation and parking committee connection with police. LPAs reviewed R1's records, conducted interviews and obtained pertinent documentation including internal investigation conducted on 12/22/25. Per investigation report, the theft of the vehicle recorded by surveillance camera ISMS system occurred on 12/21/25 at 9:22pm describing the following: "white car (unknown license plates) is seen on camera parked behind spot B4, one individual seen in car, starts car and both car leave. No staff or residents caught on camera. Cameras don't capture the entire incident just the start of the car and drive off". Based on records review and interviews with facility staff, the facility followed all regulation and training requirements protocols. LPAs will review documentation received to determine if further action is needed. No deficiencies were cited during todays visit. Exit interview was conducted with Administrator, and a copy of this report was given.