complaint·December 3, 2024

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. The investigation revealed the following: In regards to the allegation that Staff does not rotate and reposition residents resulting in pressure sore(s). (5) of (5) staff denied the allegation. Staff indicated they follow the care plan and orders of the physician. Staff indicated they reposition their resident every 2hrs or as needed by resident.(4) of (4) residents denied the allegation. Resident stated when assistance is needed for repositioning staff is responsive. LPAs observed staff attending to residents needs and the transferring of resident from bedroom to dining room for lunch. The investigation revealed the following: In regards to the allegation that Staff not providing medical attention to resident. (5) of (5) denied the allegation. Staff indicated that staff are quick to respond to the needs of the resident. Staff stated they were properly trained on ensuring residents receive medical attention. (4) of (4) residents denied the allegation. Residents indicated that staff were pleasant and good about responding to their needs. The investigation revealed the following: In regards to the allegation that Facility has mold. (5) of (5) staff denied the allegation. Staff stated that despite being an older facility this facility is kept very clean. Staff denied witnessing any mold throughout the facility. (4) of (4) residents denied the allegation. Residents indicated that they have not seen any mold throughout the facility. During a tour of the facility LPAs observed no mold in the bedrooms, closets, restrooms, and kitchen, and kitchen drawers. Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview held, and a copy of this report was provided.