Moraga Royale

On 05/09/2025 at approximately 9:50PM License Program Analyst (LPA) David Doidge arrived unannounced at the above location to conduct a required annual inspection. LPA met with Executive Director Faileloto Rickman and explained the purpose of the visit. LPA toured the facility including but not limit to, bedrooms, bathrooms, multiple activity rooms, kitchen, and common area. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 112 degrees Fahrenheit. There are no large bodies of water. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Fire extinguisher was last serviced on 05/09/2025. Emergency disaster drill are conducted quarterly, last conducted on 04/30/2025. LPA reviewed five (5) resident records and five (5) staff records, all were complete. No deficiencies observed or cited during this visit. . Exit interview conducted and a copy of this report provided

LPA reviewed the email notice to vacate sent to the facility by R1's son (W2)/POA. The email confirmed that R1's POA issued a written notice to the facility that R1 is moving out of the facility. LPA reviewed five different POAs and obtained the following information: On 3/3/2024, W1 was designated as R1's POA On 4/24/2024, W2 was designated as R1's POA On 8/28/2024, W2's designation as POA was revoked; no POA was designated On 9/3/2024, W2 was designated as R1's POA On 9/13/2024, W2's designation as POA was revoked R1 was officially discharged from the facility on 9/9/2024. Based on record reviews and interviews conducted, the above allegation is unsubstantiated. 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. There is no deficiency noted for this visit.

On 06/11/24 at approximately 1:00PM LPAs K. Nguyen and G. Luke arrived unannounced at the above location to conduct a required annual inspection. Upon arrival, LPAs met with Rickman and explained to her the reason for the visit. LPAs inspected the following but not limited to areas to include common living spaces, dining room, kitchen, shared restrooms, reception, activity room, outdoor spaces and random resident rooms and bathrooms. LPAs measured and observed the hot water temperature in random resident bathrooms on the 1st and 2nd Floors at 107.5 degrees Fahrenheit. LPAs observed that the facility temperature was 76 degrees Fahrenheit via thermostat. Facility has an 7 day supply of non-perishables and a 2 day supply of perishables. The fire extinguishers appeared fully charged last inspected on 5/28/2024. The memory care unit was inspected and found to be equipped with delayed egress. The facility has interconnected pull-type fire alarms and sprinklers throughout. Smoke detectors and carbon monoxide detectors were observed throughout the facility. All required posters were found posted and visible in the facility. Medications were observed locked and centrally stored in medication rooms and locked medication carts. First aid kit was complete with manual. Facility has a disaster plan and the last disaster drill was conducted on 04/29/2024. LPAs conducted a review of resident and staff records. Report continue in LIC 809C… 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Deficiency was observed: At 2:15pm LPAs observed S5 is not fingerprint clear on guardian. Civil Penalty of $500 is being assessed. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview was conducted. A copy of this report, civil penalty ,and appeal rights provided via email.

On 6/9/2022 starting at 2:00 p.m., Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct Infection Control Inspection. LPA met with Administrator Loto Rickman and disclosed the purpose of the visit. Upon entry, LPA’s temperature was checked by the staff, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, bathrooms, kitchen, common areas, and outdoor areas. There is one central entry point for universal screening for staff, residents, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff, and visitors. No deficiency cited during visit. Exit interview conducted with Administrator, and a copy of this report provided.