Aegis Assisted Living of Moraga

o care, supervision, and ...meet their individual needs...by staff that are sufficient in numbers, qualifications, and competency...This requirement was not met as evidence by Based on self report, the licensee did not comply with the section cited above by not having resident supervision which posed a potential health and safety risk to persons in care.

87211(a)(1)(D) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events...(D) Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidence by: Based on record review and interviews the licensee did not comply with the section cited above in by not submitting a written report within 7 days of the occurences of any of the events for residents in care. Specifically there were no incident report submitted on around 07/03/23 for when R1 had a EMT response which poses a potential health, safety or personal rights risk to persons in care.

(a) In addition to the rights listed in Section 87468.1, .residents...for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidence by: based on record review, residence R! R2 and R3 are not able to leave facility unassisted due to diagnosis. Residence AWOLed due to lack of supervision and timely response to alarms.

87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful...This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed staff crossover working between Covid-19 positive and negative residents which poses a potential health, safety or personal rights risk to persons in care.

87470 Infection Control Requirements(b)...residents in the facility are diagnosed with a communicable disease, the following shall apply:(2) All staff and volunteers...shall wear appropriate Personal Protective Equipment (PPE) to prevent....This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed staff did not wear full PPE while providing care to Covid-19 positive resident which poses a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care(a)...The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(5) Facility staff, except those authorized by law..Assistance with self-administered medications shall be limited to the following:(A) Medications usually prescribed for self-administration which have been authorized by the person's physician.This requirement is not met as evidenced by… Based on record review, the licensee did not comply with the section cited above. Medication error incident occurred to resident on 11/2/2022 which poses a potential health and safety concern to persons in care.

87465 Incidental Medical and Dental Care(a)...The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(5) Facility staff, except those authorized by law..Assistance with self-administered medications shall be limited to the following:(A) Medications usually prescribed for self-administration which have been authorized by the person's physician.This requirement is not met as evidenced by… Based on record review, the licensee did not comply with the section cited above. Medication error incidents occurred twice in 90 days which poses a potential health and safety concern to persons in care.