Inspection Reports for Aegis Living Moraga
950 Country Club Dr, Moraga, CA 94556, United States, CA, 94556
Back to Facility ProfileInspection Report Summary
Most inspections of this facility were clean, with no deficiencies cited in the most recent report dated October 7, 2025, which did find one deficiency related to the facility’s failure to timely report a resident’s emergency medical response from July 2023. Earlier reports showed some deficiencies primarily involving medication errors and supervision issues, including residents leaving unassisted due to lack of timely staff response in September 2024 and infection control lapses with staff PPE use in November 2022, which also resulted in a $250 fine for a repeat medication error violation. Several complaint investigations were unsubstantiated, including allegations about visitation restrictions, incontinence care, cleanliness, and COVID-19 protocol compliance. The facility appears to have improved over time, with no deficiencies noted in recent routine and complaint investigations after earlier issues. Minor or isolated concerns remain but do not indicate ongoing severe problems or enforcement actions beyond the past fine.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 87
Capacity: 100
Deficiencies: 1
Oct 7, 2025
Visit Reason
The visit was an unannounced Case Management visit conducted to investigate complaint #15-AS-20241022215724 regarding an incident involving emergency medical services response for a resident.
Findings
The facility failed to report an incident involving a 911 EMT response for a resident on 07/03/2023 to the Community Care Licensing Division within the required timeframe, as required by California Code of Regulation, Title 22.
Complaint Details
Complaint investigation #15-AS-20241022215724 was conducted. The complaint was substantiated as the facility did not report the emergency medical incident as required.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit a written incident report within seven days of an emergency medical response incident involving a resident. | Type B |
Report Facts
Deficiency Plan of Correction Due Date: Oct 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tianna Henderson | General Manager | Met during the inspection and provided information regarding the incident. |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and complaint investigation. |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 66
Capacity: 100
Deficiencies: 0
May 9, 2025
Visit Reason
The visit was an unannounced case management inspection conducted regarding an Unusual Incident Report (UIR) reported on 2025-04-25 involving a medication dosage error.
Findings
The medication dosage error was caused by a pharmacy entry mistake in the Electronic Medication Administration Record (EMAR). The Medication Care Manager caught the error before administration, corrected the EMAR, and retraining on medication was performed. The resident was monitored with no negative side effects. No deficiencies were observed or cited during this visit.
Report Facts
Medication dosage error: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Doidge | License Program Analyst | Conducted the case management visit |
| Tianna Henderson | General Manager | Met with Licensing Program Analyst and involved in medication error discussion |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 100
Deficiencies: 0
Jan 14, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff were not allowing a resident to have visitors.
Findings
The investigation found that the visitor log showed the resident had 28 visits between 12/20/2024 and 1/14/2025, including visits from the complainant. After a threat incident, visitation rights were temporarily suspended but later reinstated. The allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff were not allowing a resident to have visitors. The allegation was found to be unsubstantiated after review of visitor logs and interviews.
Report Facts
Visitor visits: 28
Visitor visits from witness W1: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angeles Sticka | Executive Director | Met with Licensing Program Analysts and provided information about visitation rights |
| James Sampair | Licensing Program Analyst | Conducted the complaint investigation |
| David Doidge | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 59
Capacity: 100
Deficiencies: 0
Jan 14, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analysts toured the facility and reviewed resident and staff records. No deficiencies were observed or cited during the visit.
Report Facts
Resident records reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: Dec 18, 2024
Emergency disaster drill last conducted: Dec 20, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angeles Sticka | General Manager | Met with Licensing Program Analysts during inspection |
| David Doidge | Licensing Program Analyst | Conducted the inspection |
| James Sampair | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report |
Inspection Report
Census: 61
Capacity: 100
Deficiencies: 1
Sep 26, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in response to an Unusual Incident Report regarding three residents who left the facility unassisted.
Findings
The inspection found that three residents with dementia left the facility unassisted due to lack of supervision and timely response to alarms. Deficiencies were cited related to insufficient care and supervision to meet residents' needs.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Residents R1, R2, and R3 were not able to leave the facility unassisted due to diagnosis, but AWOLed due to lack of supervision and timely response to alarms. | Type B |
Report Facts
Deficiency Plan of Correction Due Date: Oct 10, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Fowler | Licensing Program Analyst | Licensing evaluator and analyst conducting the inspection |
| Bennett Fong | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
| Angeles Sticka | General Manager | Facility General Manager met during the inspection |
Inspection Report
Annual Inspection
Census: 64
Capacity: 100
Deficiencies: 0
Jan 26, 2024
Visit Reason
The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements at the assisted living facility.
Findings
No deficiencies were observed during the visit. The facility was found to have proper infection control measures, adequate food and PPE supplies, operational safety equipment, and posted required notices. Staff and resident files were reviewed and interviews conducted without issue.
Report Facts
Memory care residents: 24
Assisted living residents: 40
Administrator certificate expiration: Jun 15, 2024
Hot water temperature: 118
Facility temperature: 72
Food supply duration: 2
Food supply duration: 7
PPE supply duration: 30
Staff files reviewed: 5
Resident files reviewed: 5
Staff interviews conducted: 5
Resident interviews conducted: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angeles Sticka | Administrator | Named as infection control leader and co-administrator present during inspection |
| Won Suk Choi | Co-Administrator | Met with Licensing Program Analyst during inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection visit |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 100
Deficiencies: 0
Dec 14, 2023
Visit Reason
An unannounced case management visit was conducted regarding a SOC 341 self-reported incident that occurred on 2023-12-07 involving a resident hitting another resident.
Findings
The situation was resolved with no injuries found. The facility implemented a plan including physician evaluation, internal investigation, one-on-one assignment for the resident, and communication with family members. No deficiencies were cited.
Complaint Details
The complaint involved a resident hitting another resident. The incident was self-reported by the facility. The situation was resolved, and no injuries were found. The complaint was not substantiated with deficiencies.
Report Facts
Incident date: Dec 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amria Angeles Sticka | Executive Director | Spoke with Licensing Program Analyst regarding the incident and explained the situation |
| Kelly Nguyen | Licensing Program Analyst | Conducted the unannounced case management visit |
| Bennett Fong | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 100
Deficiencies: 0
Dec 4, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-09-05 regarding improper incontinence care, medication assistance, facility cleanliness, and pest control at Aegis Assisted Living of Moraga.
Findings
The investigation found sufficient incontinence supplies and proper medication assistance, observed the facility to be clean and well-maintained, and noted a pest control contract with regular inspections. However, some staff reported occasional pest sightings. Overall, there was no preponderance of evidence to substantiate the allegations, and the complaints were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations regarding incontinence care, medication assistance, cleanliness, and pest control.
Report Facts
Facility capacity: 100
Resident census: 63
Complaint control number: 15-AS-20230905110825
Investigation duration: 60
Number of med techs on staff: 7
Number of med techs working day shifts: 5
Housekeeping sanitation frequency: 3
Resident apartment cleaning frequency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paris Watson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw the complaint investigation |
| Maria Angeles Sticka | Administrator | Facility administrator mentioned in report header |
| Ticarra Boyd | Care Director | Met with Licensing Program Analyst during investigation and provided information on care and supplies |
Inspection Report
Routine
Census: 59
Capacity: 100
Deficiencies: 0
Jan 17, 2023
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit.
Findings
The facility was found to have proper infection control measures in place, including screening stations, PPE usage, and sufficient food and PPE supplies. No deficiencies were cited during the visit.
Inspection Report
Complaint Investigation
Census: 63
Capacity: 100
Deficiencies: 0
Nov 10, 2022
Visit Reason
Unannounced complaint investigation conducted in response to allegations received on 2022-05-26 regarding staff PPE provision, residents being left in soiled diapers, timely showering of residents, and falls due to insufficient staffing.
Findings
All allegations were investigated through records review, interviews, and observation and were found to be unsubstantiated. No deficiencies were cited, and the facility was found to provide PPE to staff, assist residents with diaper changes and showers timely, and maintain adequate staffing to prevent falls.
Complaint Details
The complaint involved four allegations: staff not provided PPE, residents left in soiled diapers, residents not showered timely, and residents falling due to insufficient staffing. All allegations were found unsubstantiated based on interviews with staff, residents, witnesses, and record reviews.
Report Facts
Capacity: 100
Census: 63
Number of allegations: 4
Staff interviewed: 6
Residents interviewed: 6
Residents interviewed: 5
Residents interviewed: 7
Witnesses interviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation |
| Richard Pielstick | Administrator | Facility administrator during the investigation |
| Angeles Sticka | General Manager | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 100
Deficiencies: 3
Nov 10, 2022
Visit Reason
The visit was a case management investigation conducted following a complaint and an incident report regarding staff not wearing full PPE while caring for a Covid-19 positive resident and staff crossover between Covid-19 positive and negative residents due to staff shortage.
Findings
Deficiencies were found related to infection control, including staff not wearing full PPE properly and staff crossover between Covid-19 positive and negative residents, which posed health and safety risks. Additionally, a medication error incident was self-reported by the facility, resulting in a $250 civil penalty as it was a repeat violation within 12 months.
Complaint Details
The visit was triggered by a complaint investigation related to staff PPE non-compliance and crossover working between Covid-19 positive and negative residents. The complaint was substantiated by observations and interviews. Additionally, a medication error incident was self-reported by the facility.
Severity Breakdown
Type B: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Staff did not wear full PPE while providing care to Covid-19 positive resident, including improper donning and doffing. | Type B |
| Staff crossover working between Covid-19 positive and negative residents due to staff shortage. | Type B |
| Medication error incident occurred to resident on 11/2/2022. | Type B |
Report Facts
Civil penalty amount: 250
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angeles Sticka | General Manager | Met with Licensing Program Analyst during visit and involved in exit interview. |
| Catherine Lin | Licensing Program Analyst | Conducted the case management visit and documented findings. |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 1
Aug 11, 2022
Visit Reason
The visit was an unannounced case management inspection conducted due to two self-reported medication error incidents submitted to the Community Care Licensing Division (CCLD).
Findings
The facility self-reported two medication errors involving wrong dosages of Lorazepam and Hydrocodone to residents, with no resulting injury. The Licensing Program Analyst cited a deficiency due to medication errors occurring twice within 90 days, posing a potential health and safety concern.
Complaint Details
The visit was triggered by two self-reported medication error incidents. Both incidents involved administration of wrong medication dosages to residents, with no injuries reported. In-service training was provided to involved staff, and retraining was advised for all medication technicians.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Medication error incidents occurred twice in 90 days, violating Title 22 California Code of Regulations related to incidental medical and dental care. | Type B |
Report Facts
Deficiency Type: 1
Capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Richard Pielstick | Administrator | Facility administrator mentioned in the report header. |
| Catherine Lin | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the inspection. |
| Wonsuk Choi | Business Manager | Met with the Licensing Program Analyst during the visit. |
| Angeles Sticka | General Manager | Arrived during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 100
Deficiencies: 0
Apr 4, 2022
Visit Reason
Unannounced complaint investigation conducted in response to allegations that COVID-19 protocols were not being followed and that staff were made to work while positive with COVID-19.
Findings
The investigation found both allegations to be unsubstantiated. The facility followed COVID-19 protocols as per Contra Costa Public Health and Community Care Licensing. Staff were instructed to stay home when sick or COVID-19 positive, and positive asymptomatic staff were allowed to return to work as needed per public health guidance. No deficiencies were cited.
Complaint Details
The complaint involved two allegations: 1) COVID-19 protocols not being followed, and 2) staff being made to work while positive with COVID-19. Both allegations were investigated and found unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 100
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Won Suk Choi | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Richard Pielstick | Administrator | Facility Administrator named in report |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 100
Deficiencies: 0
Apr 4, 2022
Visit Reason
Unannounced complaint investigation conducted due to allegations received on 2022-01-03 regarding resident care, food service, and facility cleanliness at Aegis Assisted Living of Moraga.
Findings
All allegations were investigated and found to be unsubstantiated based on interviews, records review, and observations. No deficiencies were cited and the facility was observed to be clean with adequate food service and proper resident care.
Complaint Details
The complaint included allegations that staff left residents in soiled clothing for extended periods, did not provide adequate food service, and that the facility was not clean. All allegations were found unsubstantiated after investigation.
Report Facts
Capacity: 100
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Won Suk Choi | Business Office Manager | Met with during inspection |
| Richard Pielstick | Administrator | Facility Administrator |
Inspection Report
Routine
Census: 65
Capacity: 100
Deficiencies: 0
Feb 18, 2022
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control protocols.
Findings
The facility was found to have proper infection control measures in place including screening, PPE use, and sufficient food and PPE supplies. No deficiencies were cited during the visit.
Report Facts
Food supply duration: 2
Food supply duration: 7
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Richard Pielstick | Administrator | Met during inspection and participated in exit interview |
| Catherine Lin | Licensing Program Analyst | Conducted the infection control inspection |
| Felicided Ybona | Staff member met during inspection |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 100
Deficiencies: 0
Jan 28, 2021
Visit Reason
The visit was a case management tele-visit to discuss an incident reported on 01/15/21 involving a medication error where a staff in Med Tech training switched 14 tablets of Norco for ibuprofen on 01/10/21.
Findings
An internal investigation was conducted, the staff involved was removed from the medication assistance program, and refresher training was provided to medication caregivers and nurses. No deficiencies were observed or cited during the tele-visit.
Complaint Details
The visit was triggered by a complaint regarding a medication error where a Med Tech trainee switched 14 tablets of Norco for ibuprofen. The complaint was investigated internally, and corrective actions were taken including removal of the staff from the program and staff retraining.
Report Facts
Tablets switched: 14
Capacity: 100
Census: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Blanca Hurtado | Nurse Director | Met with during the tele-visit |
| Daisy Panlilio | Licensing Program Analyst | Conducted the case management tele-visit |
| William Phelps | Administrator | Facility administrator named in the report header |
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