Aegis Assisted Living of Napa.

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).

On 04/15/2026, at approximately 3:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a case management- incident inspection and met with Paul Oseso, Administrator. LPA is conducting a case management visit to obtain more information regarding a series of SOC341s and incident reports received by the Department involving altercations involving memory care Resident 1 (R1) and Resident 2 (R2) on 03/13/2026 and another on 03/17/2026; R1 and Resident 3 (R3) on 04/09/2026; Resident 4 (R4) and Resident 5 (R5) on 03/12/2026; and R1 and R4 on 04/13/2026. LPA reviewed records and obtained copies of documents regarding R1 and R4. LPA conducted an interview with Staff 1 (S1). All required parties were notified in the required time frames. No deficiencies were cited during todays visit. Exit interview was conducted with Paul Oseso, Administrator, whose signature on form confirms receipt of document.

At approximately 9:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Paul Oseso, Administrator. Facility is an Residential Care Faciity for the Elderly (RCFE) with 48 residents in care, 14 of whom reside in the memory care unit. The community has a Hospice waiver for 10 and is approved for 8 bedridden residents. At approximately 10:30 AM, LPA initiated a tour of the community with Administrator and observed the following: Facility is a two story building with evacuation chairs observed at the top of each stairwell. Facility was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of paper products available to clients. Closets containing cleaning supplies and other items that could pose a risk were locked. The community has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There are covered seating areas and outdoor space for activities. LPA observed an activity schedule, residents engaged in activities, and computers with internet available for resident use. The community's fire extinguishers were observed charged and were last serviced 02/2025. Sprinklers and Smoke and Carbon Monoxide detectors were last inspected by the Napa Fire Department 10/2024. Facility conducts monthly emergency/disaster drills with the last one conducted 07/2025. LPA observed facility's infection control plan and emergency disaster plan which was last updated 07/2022. LPA observed a supply of PPE, emergency supplies, flashlights and a first aid kits throughout the community. continued on LIC809C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809... Facility has a backup generator for emergency preparedness. At approximately 11:15 AM, LPA reviewed seven (7) resident records and seven (7) staff records. Seven (7) out of seven (7) resident's records have all the required paperwork, including current medical assessments and care plans. 7 out of 7 staff records have current required training and current First Aid/CPR certification. Medication and medication records were reviewed and found managed and stored in compliance with regulation. Facility works with residents and their families to coordinate medical and dental visits as well as transportation to and from appointments. Facility does not manage P&I cash resources. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : -LIC610 - Emergency Disaster Plan -A copy of facility's liability insurance No Deficiencies are cited during inspection. Exit interview conducted with Administrator whose signature on form confirms receipt.

On 07/15/2025, at approximately 3:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a case management- incident inspection and met with Lady Franz Tsang, Health Services Director. LPA is conducting a case management visit to obtain more information regarding a death report received by the Department on 07/14/2025, involving the death of Resident 1 (R1) on 07/10/2025. LPA reviewed R1's records and obtained copies of documents including a personnel roster/report. No deficiencies were cited during todays visit. Exit interview was conducted with Health Services Director, whose signature on form confirms receipt of document.

At approximately 9:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Business Office Manager Eugene Pascual. At approximately 9:30AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. LPA observed the walkway in the memory care courtyard had a raised section that could become a trip hazard. LPA was informed maintenance is aware and is in process of repairing the section. All notices that are required to be posted have been posted and are in a highly visible areas. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 10:00AM, LPA reviewed 6 resident records and found records contained current and signed admission agreements and physician's orders on file. Assessments were updated within the last 12 months. Medication records are thorough and contained physician's orders for each resident. At approximately 12:00PM, LPA reviewed 8 staff records. All records contained documentation of completed training hours as required. Evidence of current first aid and CPR training were current. LPA interviewed 2 staff during this inspection. Continued on LIC809-C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At approximately 1:00PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has the required evacuation stair chairs in place at each stairwell. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 8/16/2023. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of control of property/ Rental/Lease Agreement LIC500- Personnel Report Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.

At approximately 1:40PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Incident Visit and met with Administrator, Paul Oseso, and Health Services Director, Lady Franz Tsang. The purpose of the visit was to follow up on self-reported incidents that were submitted to Community Care Licensing (CCL). Incident Report 1: CCL received an incident report on 05/18/2023. Review of the report stated that Resident 1 (R1), was found on the floor of their apartment. R1 was observed to be on their side with some bleeding on their elbow. Facility contacted Emergency Personnel and R1 was taken to the hospital to be evaluated. R1 had surgery and returned to the community. Facility made all appropriate notifications per regulation. LPA discussed R1 with Administrator and Health Services Director. LPA was informed that R1 was reinstated to Hospice after returning from the hospital, and has since passed away. Incident Report 2/Death Report: CCL received an incident report on 04/13/2023. Review of the report stated that Resident 2 (R2), was observed by their Primary Care Physician to have shortness of breath. Emergency Personnel was contacted and R2 was taken to the hospital to be evaluated. R2 was then admitted for further evaluation. Facility made all appropriate notifications per regulation. On 05/04/2023, LPA received a death report for R2 stating that they had passed away while at the hospital. LPA discussed R2 with Administrator and Health Services Director. Facility to request and submit a copy of R2's Death Certificate to CCL when it has been received. Continued on LIC809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809 Incident Report 3: CCL received an incident report on 04/20/2023. Review of the report stated that Resident 3 (R3), was found on the floor of their apartment. Facility contacted Emergency Personnel and R3 was taken to the hospital to be evaluated. R3 was diagnosed with a compression fracture. Facility made all appropriate notifications per regulation. LPA discussed R3 with Administrator and Health Services Director. LPA was informed that R3 is in memory care and has since returned to the community. Their fracture has healed. R3 has been observed to be at baseline with no complaints of pain. Facility has scheduled for R3 to have physical therapy to help with their gait and balance. Incident Report 4: CCL received an incident report on 04/24/2023. Review of the report stated that Resident 4 (R4), was found on the floor of their apartment. Facility contacted Emergency Personnel and R4 was taken to the hospital to be evaluated. R4 was diagnosed with a hip fracture. Facility made all appropriate notifications per regulation. LPA discussed R4 with Administrator and Health Services Director. LPA was informed that R4 is in memory care and has since returned to the community. Their fracture has healed. R4 has been observed to be at baseline with no complaints of pain. Facility has scheduled for Home Health to provide wound care for R4 and has also scheduled physical therapy to help R4 with their gait and balance. LPA conducted a walk through of the facility. No Deficiencies cited during visit. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Administrator. Signature on form confirms receipt of documents.