Inspection Reports for Del’s Haven III
29825 Andrea Way, Laguna Niguel, CA 92677, USA, CA, 92677
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jun 16, 2025
Visit Reason
The Licensing Program Analyst conducted an unannounced required annual inspection to evaluate compliance with licensing requirements and verify facility conditions.
Findings
The facility was generally clean, organized, and operational with all required furnishings and safety equipment in place. One deficiency was cited for a staff member lacking the required 8 hours of dementia training.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff 3 did not have 8 hours of the required Dementia training. | Type B |
Report Facts
Staff files reviewed: 4
Resident files reviewed: 6
Dementia training hours missing: 8
Plan of Correction due date: Jun 26, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Met with Licensing Program Analyst during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Jun 14, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre conducted an unannounced required annual inspection of DEL'S HAVEN III facility to assess compliance with regulations.
Findings
The facility was generally clean and organized with operational safety equipment; however, deficiencies were cited including the use of the living room as a shared bedroom, incomplete health screening for one staff member, and insufficient annual training hours for two staff members.
Severity Breakdown
Type B: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Living room being used as a shared bedroom for two residents, which is not permitted. | Type B |
| One out of three staff files did not have a completed health screening. | Type B |
| Two out of three staff members did not have the required 20 hours of annual training. | Type B |
Report Facts
Capacity: 6
Census: 6
Hot water temperature: 110
Staff files reviewed: 3
Resident files reviewed: 4
Resident medications reviewed: 4
Staff without completed health screening: 1
Staff without required training hours: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sheila Santos | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Jun 7, 2022
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 clean, organized, and compliant with all requirements. No deficiencies were observed or cited during the visit.
Report Facts
Administrator certificate expiration: Nov 15, 2023
Food supply: 2
Food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Met with Licensing Program Analyst during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual inspection visit |
| Luz Adams | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Capacity: 6
Deficiencies: 0
Jul 27, 2021
Visit Reason
An unannounced visit was made to conduct the required annual inspection (mitigation) of the facility.
Findings
The facility was found to be clean, organized, and compliant with all requirements. No deficiencies were cited during the inspection.
Report Facts
Bedrooms: 5
Bathrooms: 2
Day perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dianna Manalo | Administrator | Administrator who greeted the Licensing Program Analyst and participated in the facility tour |
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 0
Jun 1, 2021
Visit Reason
The visit was an announced second pre-licensing inspection to evaluate the facility's readiness for licensing.
Findings
The Licensing Program Analyst observed that previously identified issues with a missing window screen and a leaking heating/AC unit had been corrected. The facility meets Title 22 requirements and is ready to be licensed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the pre-licensing inspection and observed corrections. |
| Dianna Manalo | Applicant and facility administrator who greeted the analyst and was involved in the inspection. |
Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 2
Apr 27, 2021
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility for initial licensing as a Residential Care Facility for the Elderly (RCFE) with a capacity of 6 residents.
Findings
The facility was inspected for structural and safety compliance, including bedrooms, bathrooms, fire safety equipment, and food supplies. Two deficiencies were noted: a missing window screen in a private bathroom and improper drainage from the heating/AC unit, both requiring correction prior to licensing approval.
Deficiencies (2)
| Description |
|---|
| Missing window screen in private bathroom number 2 |
| Heating/AC unit water drains into a plastic waste bin instead of house plumbing |
Report Facts
Facility capacity: 6
Census: 4
Water temperature: 110.8
Water temperature: 111
Food supply: 7
Food supply: 2
Fire clearance date: Mar 24, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the pre-licensing inspection and noted deficiencies |
| Dianna Manalo | Administrator | Applicant and facility administrator present during inspection |
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