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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 286803028
Report Date: 04/20/2026
Date Signed: 04/20/2026 04:42:37 PM

Substantiated


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
01/12/2026 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20260112103418
FACILITY NAME:AEGIS ASSISTED LIVING OF NAPAFACILITY NUMBER:
286803028
ADMINISTRATOR:PAUL OSESOFACILITY TYPE:
740
ADDRESS:2100 REDWOOD ROADTELEPHONE:
(707) 251-1409
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:56CENSUS: 48DATE:
04/20/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Paul Oseso, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff do not follow resident's care plan.
INVESTIGATION FINDINGS:
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On 04/20/2026, at approximately 10:45 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conclude investigation and deliver findings regarding LIC802 - Complaint Report #21-AS-20260112103418, which was received by Community Care Licensing (CCL) on 01/12/2026. Reporting Party (RP) alleges that staff do not follow resident's care plan. LPA met with Paul Oseso, Administrator.

During facility visit on 01/14/2026, LPA obtained documents and conducted interviews. Per the care plan for Resident 1 (R1) dated 12/26/2025, R1 was independent with bathing and did not have shower assistance included in their care plan. Per interviews conducted with Staff 1 (S1) and Staff 2 (S2) during this visit, and further interviews conducted on 02/24/2026 with Staff 3 (S3) and Staff 4 (S4), it was revealed that staff did assist R1 with bathing. Facility was able to provide email correspondence with R1's responsible party regarding bathing assistance and the responsible party indicated they would bring R1's shower chair to the facility.

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

DATE: 04/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026
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 3
Control Number 21-AS-20260112103418
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: AEGIS ASSISTED LIVING OF NAPA
FACILITY NUMBER: 286803028
VISIT DATE: 04/20/2026
NARRATIVE
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Continued from LIC9099...

However, there was no official reappraisal conducted for R1 which included bathing assistance.

Based on documents obtained and interviews conducted, the allegation that staff do not follow resident's care plan is SUBSTANTIATED. A finding that a complaint allegation is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiency is cited from Title 22 Regulations, Division 6, (see LIC9099D).

Exit interview conducted with Administrator, whose signature on form confirms receipt of documents. Copy of report and appeal rights provided to Administrator.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20260112103418
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: AEGIS ASSISTED LIVING OF NAPA
FACILITY NUMBER: 286803028
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2026
Section Cited
CCR
87463(b)
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Reappraisals 87463(b)The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition....
This requirement is not met as evidenced by:
Based on records reviewed and interviews conducted,
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Licensee to conduct training with staff regarding compliance with residents' appraisal needs and services plan and completing reappraisals when indicated and submit proof to CCLD by POC due date of 05/22/2026.
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Licensee did not ensure that R1's appraisal needs and services plan was followed or that a reappraisal was completed prior to implementing new services. This poses a potential Health, Safety and/or Personal Rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3