Complaint Investigation Report

The investigation revealed the following: In regards to the allegation that Facility operating out of capacity. (5) of (5) staff confirmed the allegation. Staff confirmed that Assisted Living and Wellness - Naomi is operating over capacity with (7) residents despite being licensed for (6) residents. (4) of (4) residents confirmed the allegation. Resident indicated the location of their bedroom at Assisted Living and Wellness -Naomi. LPAs observed with S1 that R1 - R7 are receding under Assisted Living and Wellness -Naomi. The facility is licensed for an age range 60 and over. Approved for one (1) ambulatory and five (5) bedridden in rooms numbers 1,2,3,5, and 6 only. Hospice waiver approved for six (6). Facility is operating beyond the conditions and limitations specified on the license. Facility is providing care and supervision for (7) residents despite being licensed and approved for (6) residents.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the 9099-D. Exit interview held and a copy of the report along with appeal rights were provided.

Immediate Civil Penalty in the amount of $500 was assessed during today's visit. Civil penalties will continue at $100.00 per day until deficiency is corrected.