Inspection Reports for
The Berkshire

2300 BROWN STREET, NAPA, CA, 94558

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Citations (last 4 years)

Citations (over 4 years) 1.5 citations/year

Citations are regulatory findings recorded during state inspections.

63% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2022
2023
2024
2025

Occupancy

Latest occupancy rate 29% occupied

Based on a December 2025 inspection.

Occupancy rate over time

0% 30% 60% 90% 120% Mar 2022 Jul 2022 Feb 2023 Apr 2024 Apr 2025 Dec 2025

Inspection Report

Census: 21 Capacity: 72 Citations: 0 Date: Dec 9, 2025

Visit Reason
The visit was an unannounced case management - incident inspection to obtain more information regarding an incident report received by the Department on 2025-12-08 for an incident that occurred on 2025-12-01 involving a resident.

Findings
No deficiencies were cited during the visit. The Licensing Program Analyst conducted interviews and reviewed the incident report.

Employees mentioned
NameTitleContext
Babita DhawanAdministrator/DirectorNamed as facility administrator/director.
Lia MillerDirector of OperationsMet with Licensing Program Analyst during inspection.
Julie FlorioLicensing Program AnalystConducted the case management - incident visit.
Bethany MoellersLicensing Program ManagerNamed as Licensing Program Manager.

Inspection Report

Complaint Investigation
Census: 21 Capacity: 72 Citations: 0 Date: Dec 9, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff neglect resulted in a resident sustaining a fracture.

Complaint Details
The complaint alleged staff neglect caused a resident's fracture. The resident had a controlled fall and subsequent surgery for a hip fracture. Staff statements conflicted about how the injury occurred. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found conflicting information regarding the allegation, and based on interviews, observations, and records, the allegation was unsubstantiated. No deficiencies were cited.

Report Facts
Facility Capacity: 72 Resident Census: 21

Employees mentioned
NameTitleContext
Julie FlorioLicensing Program AnalystConducted the complaint investigation and delivered findings
Lia MillerDirector of OperationsMet with Licensing Program Analyst during exit interview

Inspection Report

Annual Inspection
Census: 19 Capacity: 72 Citations: 2 Date: Apr 25, 2025

Visit Reason
The inspection was a required unannounced 1-year annual inspection of the Residential Care Facility for the Elderly.

Findings
The facility was generally compliant with regulations, but some staff files were missing proof of required training and some resident files lacked updated appraisal needs and service plans. The facility agreed to submit updated documentation and plans of correction within 30 days.

Citations (2)
HSC 1569.625(b)(2) training requirements were not met as Staff 2 and Staff 3 were missing proof of all required annual training hours, posing a potential risk to persons in care.
CCR 87463(a) reappraisals were not met as five resident files were missing appraisal needs and service plans updated yearly, posing a potential risk to persons in care.
Report Facts
Residents in care: 19 Licensed capacity: 72 Resident files reviewed: 5 Staff files reviewed: 5 Fire extinguisher last serviced: 3 Smoke and Carbon Monoxide detector last inspected: 6

Inspection Report

Complaint Investigation
Census: 18 Capacity: 72 Citations: 0 Date: Aug 20, 2024

Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 2024-04-19 regarding rough handling of residents, extended periods in wet briefs, cold water bathing, and overmedication.

Complaint Details
The complaint involved allegations of rough handling, neglect in incontinent care, cold water bathing, and overmedication. After interviews, document review, and site visits, the allegations were found to be unsubstantiated.
Findings
The investigation found no evidence of medication errors or abuse. Documentation logs showed residents were checked and changed appropriately, hot water was functioning for showers, and family members expressed satisfaction with care. The allegations were unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 72 Census: 18

Employees mentioned
NameTitleContext
Babita DhawanAdministratorFacility administrator met during investigation
David LeibertLicensing Program AnalystEvaluator who conducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 22 Capacity: 72 Citations: 2 Date: Apr 26, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-02-16 regarding insufficient staffing, food temperature issues, failure to follow activities calendar, and inadequate laundry service at the facility.

Complaint Details
The complaint investigation was substantiated for insufficient staffing and food temperature issues. The allegations regarding failure to follow the activities calendar and inadequate laundry service were unsubstantiated.
Findings
The investigation substantiated insufficient staffing and food temperature allegations, finding one overnight staff despite multiple residents needing two-person assist and meals sometimes served cold. Allegations about failure to follow the activities calendar and inadequate laundry service were unsubstantiated.

Citations (2)
CCR 87411(a) Personnel Requirements - Facility personnel are insufficient in numbers to meet resident needs, with only one overnight staff despite multiple residents requiring two-person assist.
CCR 87555(a) General Food Service Requirements - Food is sometimes served cold and vegetables have been observed with frost, indicating improper food temperature control.
Report Facts
Facility Capacity: 72 Resident Census: 22 Deficiency Count: 2 Plan of Correction Due Date: May 3, 2024

Employees mentioned
NameTitleContext
Babita DhawanAdministratorNamed in relation to staffing and food service deficiencies
Helena RummondsLicensing Program AnalystConducted the complaint investigation

Inspection Report

Annual Inspection
Census: 21 Capacity: 72 Citations: 0 Date: Apr 12, 2024

Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations.

Findings
The facility was found to be in compliance with regulations, including proper temperature control, secured medications, adequate food supplies, and staff training. No deficiencies were cited during the inspection.

Inspection Report

Complaint Investigation
Capacity: 72 Citations: 1 Date: Oct 2, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2023-07-11 regarding medication room security, bathroom sink repairs, staff communication, and visitor policies.

Complaint Details
The complaint investigation was substantiated for the allegation that staff left the medication room door open, making medications accessible to residents. Other allegations about bathroom sink repairs, staff speaking inappropriately, phone answering, and visitor restrictions were unsubstantiated.
Findings
The investigation substantiated that the medication room door was previously unsecured but has since been repaired and secured. Other allegations regarding bathroom sink repairs, staff communication, and visitor policies were found unsubstantiated based on interviews and observations.

Citations (1)
CCR 87465(H)(2): The medication room door was not secured, posing an immediate health or safety risk to residents. The licensee repaired the medication room door immediately, and the plan of correction was cleared at the time of visit.
Report Facts
Facility Capacity: 72

Employees mentioned
NameTitleContext
Babita DhawanAdministratorMet with Licensing Program Analyst during investigation and discussed findings
Christopher ArnholdLicensing Program AnalystConducted the complaint investigation
Bethany MoellersSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 23 Capacity: 72 Citations: 0 Date: Feb 2, 2023

Visit Reason
The inspection was a required unannounced 1-year inspection focused on infection control practices and procedures at the facility.

Findings
The facility was found to be clean and in good repair with no deficiencies cited. Safety equipment was operational, medications and toxins were secured, and infection control measures were adequate.

Inspection Report

Complaint Investigation
Census: 21 Capacity: 72 Citations: 1 Date: Nov 4, 2022

Visit Reason
The inspection was conducted as an initial complaint investigation regarding the allegation that facility staff do not maintain a comfortable room temperature for residents in care.

Complaint Details
The complaint alleging that facility staff do not maintain a comfortable room temperature for residents was substantiated based on observed thermostat readings during the unannounced inspection.
Findings
The investigation found that two thermostats met the minimum temperature regulation of 68 degrees, but one thermostat was reading 65 degrees, which is below the required minimum. The allegation was substantiated and the facility has space heaters and a plan to fix the heating issue.

Citations (1)
CCR 87303(b)(1) requires maintaining a comfortable temperature for residents at all times. The facility failed to meet this requirement as a thermostat was observed reading 65 degrees, posing a potential health and safety risk.
Report Facts
Deficiencies cited: 1 Capacity: 72 Census: 21

Employees mentioned
NameTitleContext
Babita DhawanLicensee/AdministratorMet with Licensing Program Analyst during inspection
Erik Gonzalez CamposLicensing Program AnalystConducted the complaint investigation

Inspection Report

Original Licensing
Census: 19 Capacity: 72 Citations: 0 Date: Jul 20, 2022

Visit Reason
The inspection was an unannounced Post Licensing Inspection conducted to evaluate the facility's compliance following licensing.

Findings
The facility was found to be clean and in good repair with appropriate furnishings and safety equipment. Resident files and staff files were reviewed with guidance provided on admission agreements and staff training.

Report Facts
Residents on hospice: 6 Residents in memory care: 12 Residents in assisted living: 7 Water temperature readings: 109.7 Water temperature readings: 116.6 Fire extinguisher last charged date: Apr 8, 2022

Employees mentioned
NameTitleContext
Babita DhawanLicensee/AdministratorMet with Licensing Program Analyst during inspection.
Erik Gonzalez CamposLicensing Program AnalystConducted the Post Licensing Inspection.

Inspection Report

Complaint Investigation
Census: 20 Capacity: 72 Citations: 0 Date: Jun 29, 2022

Visit Reason
An unannounced complaint investigation was conducted regarding allegations of residents being handled roughly, personal rights violations, and residents not being fed while in care.

Complaint Details
The complaint was unsubstantiated after investigation found no evidence to support allegations of rough handling, personal rights violations, or residents not being fed.
Findings
The investigation included facility tour, record review, and interviews with staff, residents, and hospice nurse. No evidence was found to substantiate the allegations, and the complaint was determined to be unsubstantiated.

Employees mentioned
NameTitleContext
Erik Gonzalez CamposLicensing Program AnalystConducted the complaint investigation
Babita DhawanLicensee/AdministratorMet with during investigation and exit interview

Inspection Report

Original Licensing
Census: 14 Capacity: 72 Citations: 0 Date: Mar 10, 2022

Visit Reason
The inspection was conducted as a pre-licensing visit due to an ownership change of the currently operating care facility for the elderly.

Findings
The facility was found to have unobstructed hallways and exits, proper storage of cleaners and medications, adequate food supplies, and compliant water temperatures. Fire safety systems and emergency preparedness plans were in place and functional, and the applicant successfully completed the required orientation.

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