Inspection Reports for
Aegis Living Moraga

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.

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.

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.

The Licensing Program Analysts toured the facility and reviewed resident and staff records. No deficiencies were observed or cited during the visit.

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.

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.

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.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations regarding incontinence care, medication assistance, cleanliness, and pest control.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.