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Inspection visit

Health check

LA CASA DELLA NONNALicense 1072092335 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On 11/14/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced health and safety check on residents in care. This visit is being conducted due to the facility being on increased monitoring. LPA met with Direct Care Staff, Maria Avendano-Nicolas, explained reason for visit and was permitted entry into the facility. House Manager, Hilda Deroux was contacted and arrived some time later. During visit LPA completed a tour of the facility and observed residents in care in dining area and in rooms. There are currently 2 residents receiving hospice services. 1 resident is bedridden at this time. On 9/9/25 the Department received notification the Administrator, Phoeun Marez was no longer acting as the Administrator at the facility. Licensee was notified on 9/26/25 a complete packet had not been received naming a new Administrator. At this time the facility does not have an active Administrator. During an NCC on 2/6/25, Licensee was notified their hospice wavier was being decreased to 1 and could not accept any new residents without an exception. Interviews conducted and records reviewed identified there are currently 2 residents on hospice. Both do not have a current hospice care plan. 1 of 2 was admitted on 11/7/25. The Department has not received an exception request for this resident. LPA observed hallway fire door propped open with a wedge door stop. Record review identified S1 was not fingerprint cleared. Deficiencies cited per California Code of Regulations, Title 22. Deficiencies cited on attached 809D. If not corrected, these deficiencies will have a direct impact to residents in care. Exit interview conducted with House Manager, Hilda. A plan of correction was developed by Licensee via telephone and House Manager, Hilda and reviewed by LPA. A copy of this report, deficiencies and appeal rights provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.73(d)Type A

    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.

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  • 87202(a)Type A

    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.

  • 87355(e)(2)Type A

    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.

  • 87405(a)Type A

    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.

  • 87633(a)(4)Type A

    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.

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FAQ · About this visit

Common questions about this visit

What happened during the November 14, 2025 inspection of LA CASA DELLA NONNA?

This was an other inspection of LA CASA DELLA NONNA on November 14, 2025. 5 citations were issued: 5 Type A (serious).

Were any citations issued to LA CASA DELLA NONNA on November 14, 2025?

Yes, 5 citations were issued (5 Type A, 0 Type B). The first citation was for: "1569.73 Terminally ill residents; or terminally ill persons to be accepted as a resident; transferring hospice care and ..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.