La Casa Della Nonna

Obtain required California clearance or exemption

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidence by:LPA observations and records review. The licensee did not comply with the section cited above in that S1 was observed to be working with residents in care and to not have a fingerprint clearance. This poses an immediate health, safety and or personal rights risk to residents in care.

Each terminal resident needs a written hospice care plan

87633 Hospice Care of Terminally Ill Residents (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility when all of the following conditions are met:(4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness...prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidence by: record review. The licensee did not comply with the section cited above in that 2 of 2 residents receiving hospice services did not have a care plan. This poses an immediate health, safety and or personal rights risk to residents in care.

Certified administrator requirements and substitute coverage

(a) All facilities shall have a qualified and currently certified administrator... This requirement was not met as evidence by: record review and interviews conducted. The licensee did not comply with the section cited above in that the facility does not have an active administrator since 9/9/25. This poses an immediate health, safety and or personal rights risk to residents in care.

1569.73 Terminally ill residents; or terminally ill persons to be accepted as a resident; transferring hospice care and waivers; resident care and supervision (a) Notwithstanding Section 1569.72 or any other provision of law, a residential care facility for the elderly may obtain a waiver...(d) Nothing in this section is intended to expand the scope of care and supervision for a residential care facility for the elderly as defined in this act, nor shall a facility be required to alter or extend its license in order to retain a terminally ill resident or allow a terminally ill person to become a resident of the facility as authorized by this section. This requirement was not met as evidence by: record review and interviews conducted. The licensee did not comply with the section cited above in that the facility has a hospice wavier for 1resident and currently has 2 residents on hospice. This poses an immediate health, safety and or personal rights risk to residents in care.

Maintain fire clearance before retaining specified persons

87203 Fire SafetyAll facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidence by: LPA observation. The licensee did not comply with the section cited above in that the hallway fire door was being propped open with a wedge door stop. This poses an immediate health, safety and or personal rights risk to residents in care.

Ensure hazardous items are locked and not unattended

Based on LPA observation, the licensee did not comply with the section cited above in that medication observed in bathroom #2 drawer unlocked and accessible to residents in care. This poses a potential health, safety or personal rights risk to persons in care.

Keep bathing and hygiene facilities in operating condition

Based on LPA observation, the licensee did not comply with the section cited above in that shower chair in bathroom #1 observed dirty and in need of cleaning/replacement. Slip resistant mat in bathroom #1 shower observed molded and in need of cleaning or replacement. This poses a potential health, safety or personal rights risk to persons in care.

Limit postural support devices to mobility needs

Based on LPA observation, the licensee did not comply with the section cited above in that bedroom #1 was observed with 1 of 2 beds having hand rails without a physicians order. This poses a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on LPA observation, the licensee did not comply with the section cited above in that Fire doors (2) in hallway observed propped open, sliding lock observed on back patio door and garage door preventing residents from opening. This poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

87309 Storage Space and Access(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidence by: Chemicals, medication and items that pose a danger to residents in care observed in unlocked garage accessible to residents.

Diet quality and preparation in safe healthful manner

87555 General Food Service Requirements(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidence by: LPA observation of food stored in the facility was not of the quantity for the residents in care. This poses an immediate health, safety and or personal rights risk to residents in care.

1569.618 Administration and management of residential care facilities; substituted qualifications; employee scheduling (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (2) Ensure the health, safety, comfort, and supervision of the residents. This requirement was not met as evidence by: interviews conducted. Interviews indicated staff did not prevent R2 from going into R1’s bedroom and physically attacking R1. This poses a potential health, safety and or personal rights risk to residents in care.

Right to sufficient care and qualified staff

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities 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 was not met as evidence by: LPA observation and interviews conducted. Observation of S1 and S2 utilizing a translation device to communicate with residents, visitors and other staff.

87211 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 specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: interviews conducted and review of SIR’s. Interview with staff indicated an incident with R1 and R2 in a physical altercation. Review of SIR’s did not show the facility reported this incident to CCL or other appropriate parties. This poses a potential health, safety and or personal right risk to residents in care.

87303 Maintenance and Operation(h)... Open-flame lights shall not be used. This requirement was not met as evidence by: LPA observation of candles previously used at the facility.