286803028-9-21-2021-21-AS-BMOS-C76LHZ-20210924084708

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 286803028
Report Date: 09/21/2021
Date Signed: 09/21/2021 11:33:21 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2021 and conducted by Evaluator Angela Elliott

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20210518161855

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: 50	DATE:	09/21/2021
		UNANNOUNCED	TIME BEGAN:	11:30 PM
MET WITH:	Paul Oseso		TIME COMPLETED:	11:45 PM

ALLEGATION(S):

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Facility is not kept sanitary

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Elliott arrived unannounced to deliver findings for the complaint allegation listed above. LPA met with Paul Oseso, General Manger.

There is an allegation facility is not kept sanitary. LPA toured facility on 5/25/2021, 6/15/2021 and 7/13/2021. During the tours the facility appeared clean, free of odors and sanitary. The patio in the back was landscaped and well maintained. Confidential interviews conducted with other residents on 6/15/2021 revealed no concerns with the cleanliness or issues with pets at the facility. Staff interviews on 9/1/2021 indicated that if there are issues with pets that arise, they are dealt with immediately. Appendix D labeled “Pet Addendum” “When pet is not in the apartment, the Resident will keep it on a leash no longer than five feet in length or in a cage or other appropriate closed and ventilated container that is in the control of the resident.” Interviews with staff and residents provided conflicting information as to whether residents were concerned about pets being off their leash. Based on LPA observation, interview and record review LPA was unable to determine if an area of the facility was unclean or in an unsanitary condition at a prior date. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violations did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bethany Moellers	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR NAME: Angela Elliott	TELEPHONE: (470) 717-1668
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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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