Inspection Reports for Del’s Haven II
29251 Via San Sebastian, Laguna Niguel, CA 92677, USA, CA, 92677
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 4
Oct 23, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with regulations.
Findings
The facility was found to have expired shelf stable food in the kitchen, presence of insects in the kitchen, a missing PRN medication for Resident 2, and no record of emergency disaster drills. Bathrooms and resident rooms were clean and operational, and staff files were compliant.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Resident 2 was missing PRN Acetaminophen 325 mg medication. | Type A |
| Two insects were observed in the kitchen. | Type A |
| Expired shelf stable food was found in the kitchen cupboard. | Type B |
| No record of an emergency disaster drill being conducted at the facility. | Type B |
Report Facts
Deficiencies cited: 4
Capacity: 6
Census: 4
Hot water temperature: 106.5
Hot water temperature: 106.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Met with Licensing Program Analysts during inspection and participated in exit interview. |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Nancy Guillen | Licensing Program Analyst | Participated in the inspection visit. |
| Brandon Lopez | Licensing Program Analyst | Participated in the inspection visit. |
| Sheila Santos | Licensing Program Manager / Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Oct 14, 2022
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation).
Findings
The facility was found to be clean, well-maintained, and compliant with all requirements including safety, furnishings, and food supply. No deficiencies were cited during this visit.
Report Facts
Hot water temperature: 108.6
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Met during inspection and discussed Covid-19 mitigation, reporting, and medication administration |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Nov 15, 2021
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation) of the facility.
Findings
The facility was found to be in compliance with no deficiencies cited. All resident bedrooms had required furnishings and adequate space, bathrooms and kitchen were clean and operational, safety equipment was functional, and no hazards were observed.
Report Facts
Bedrooms: 5
Bathrooms: 2
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Facility Administrator present during the inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Original Licensing
Census: 5
Capacity: 6
Deficiencies: 0
Nov 1, 2021
Visit Reason
The Licensing Program Analyst conducted an unannounced post licensing inspection visit to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with all licensing requirements. All bedrooms were furnished, bathrooms were clean and operational, safety equipment was functional, and no deficiencies were cited.
Report Facts
Hot water temperature: 108.6
Hot water temperature: 109.7
Perishable food supply: 2
Non-perishable food supply: 7
Staff files reviewed: 2
Resident files reviewed: 2
Resident medications reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Greeted Licensing Program Analyst and toured the facility |
| Joseph Alejandre | Licensing Program Analyst | Conducted the post licensing inspection |
| Luz Adams | Licensing Program Manager | Named in the report header |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Nov 13, 2020
Visit Reason
The visit was conducted as a pre-licensing inspection to evaluate the facility for licensure as a Residential Care Facility for the Elderly (RCFE).
Findings
All items reviewed during the visit were found to be in compliance. The facility is ready for licensure pending final review and approval.
Report Facts
Facility capacity: 6
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Applicant and facility representative who met with Licensing Program Analyst during the pre-licensing visit |
| Joseph Alejandre | Licensing Program Analyst | Conducted the announced pre-licensing visit |
| Alisa Ortiz | Licensing Program Manager | Supervisor who approved the waiver of Component III and final review |
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