286803028-4-20-2026-21-AS-BMOS-DTTS7S-20260506133757

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 286803028
Report Date: 04/20/2026
Date Signed: 04/20/2026 04:43:43 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
01/12/2026 and conducted by Evaluator Julie Florio

COMPLAINT CONTROL NUMBER: 21-AS-20260112103418

FACILITY NAME:	AEGIS ASSISTED LIVING OF NAPA		FACILITY NUMBER:	286803028
ADMINISTRATOR:	PAUL OSESO		FACILITY TYPE:	740
ADDRESS:	2100 REDWOOD ROAD		TELEPHONE:	(707) 251-1409
CITY:	NAPA	STATE: CA	ZIP CODE:	94558
CAPACITY:	56	CENSUS:	DATE:	04/20/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Paul Oseso, Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Personal Rights.
Staff does not ensure resident is hydrated.
Staff do not keep the facility clean and sanitary.

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 a personal rights violation, staff does not ensure resident is hydrated, and staff do not keep the facility clean and sanitary. LPA met with Paul Oseso, Administrator.

During 01/14/2026 facility visit, LPA completed a walk through of the facility with Administrator, made observations, obtained documents, and conducted interviews. LPA found the facility to be clean and sanitary and witnessed housekeeping cleaning resident rooms. Based on an interview conducted with Administrator, residents' rooms are cleaned weekly. At minimum, this includes: vacuuming, mopping, dusting, beds are stripped and sheets and towels are washed. Kitchen's and bathrooms are cleaned weekly as well.

Continued on LIC9099C...

Unsubstantiated

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)

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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...

Additionally, residents' trash is checked daily and is dumped if needed. Residents' personal laundry is washed by the care staff once per week. If anything needs to be addressed and cleaned, it is dealt with immediately. The other common areas and public restrooms are cleaned daily. Interviews conducted with Resident 1 (1), Staff 1 (S1), and Staff 2 (S2) on 01/14/2026, interviews conducted with Staff 3 (S3), Staff 4 (S4) and Witness 1 (W1) on 02/24/2026, and interviews conducted with Witness 2 (W2) on 03/30/2026, Witness 3 (W3) on 04/15/2026, and Witness 4 (W4) and Witness 5 (5) on 04/15/2026 revealed conflicting information as to whether R1 was forced to shower or not. While photos dated 01/07/2026 were provided to LPA and show broken finger nails, there is no way to confirm when or how they occurred. Hospital records dated 01/11/2026 reveal that ER personnel were encouraging food and hydration but R1 refused. Additionally, while a third party Hospice agency record dated 01/26/2026 indicate that R1 was malnourished, R1 moved out of the facility on 01/16/2026 and the above mentioned interviews conducted with S1, S3, and S4 revealed that residents are offered water and fluids with every meal, and the evening shift caregivers ensure the residents each have fresh water available in their rooms. LPA received conflicting information regarding each of the above allegations.

Based on interviews conducted, observations made, and records obtained, the allegations of a personal rights violation, staff does not ensure resident is hydrated, and staff do not keep the facility clean and sanitary are 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 Administrator, whose signature on form confirms receipt of document(s).

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)

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