Delzen's Place

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff and LPA explained the nature of the visit. LPA met with Dianna Manalo, Administrator arrived to the facility and met with LPA. The facility is licensed for five (5) non-ambulatory residents, one (1) bedridden with approved hospice waiver for four (4) residents. Currently, there are five (5) residents at the facility and there are no residents receiving hospice services currently. This is a single story with attached garage facility. The facility has four private resident rooms, one shared resident room, one staff room and two full bathrooms. LPA accompanied by staff began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in a freezer located in the garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage closet located in the hallway. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA observed the first aid kit with necessary items. LPA inspected the facility bathrooms (2) and LPA measured the hot water temperature which measured 109.2 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as This report was reviewed with the Administrator, and a copy of this report was provided to the facility. Continued on LIC809-C non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and locked storage cabinet in the garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which had sufficient lighting to ensure safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors/carbon monoxide detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas for residents’ enjoyment in the backyard of the facility. LPA observed two fire extinguishers with service date of June 10, 2026, charged. Fire drills are conducted every three months, LPA verified fire drill logs are kept and last drill was conducted July 10, 2026. LPA began reviewing records. LPA reviewed three resident records. All the required documentation was present and reviewed in the residents’ files. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated with the facility. LPA observed records reviewed have a current First Aid certificate. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.the state’s words, verbatim · CDSS document, Jul 13, 2026

Type of visit: Required - 1 Year

On September 25, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Staff contacted Administrator Dianna Manalo who arrived shortly after to assist with inspection. The facility is licensed for five (5) non-ambulatory residents, one (1) bedridden with approved hospice waiver for four (4) residents. Currently, there are two (2) Hospice residents present during today’s visit. This is a single story with attached garage facility. The facility has four private resident rooms, one shared resident room, one staff room and two full bathrooms. At around 9:00AM, LPA conducted a tour of the physical plant accompanied by Administrator Dianna Manalo, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available in facility closet during the visit. Bathrooms were operational with water temperature measured at 109.0 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene supplies, sharps objects, and cleaning supplies were secured and not accessible to residents. CONTINUED ON 809C The kitchen was inspected, and sufficient two day perishables and Seven day non-perishable food was maintained. Facility has emergency food and water. Facility has three fire extinguishers which were mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. During the visit, LPA observed the facility's infection control practices. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 7/25/2025. The facility had centrally wired operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 8/6/2025 – 8/6/2026. A review of six residents (R1-R6) service files and three staff (S1-S3) personnel files revealed to be complete. The facility has the current administrator's certification on file for Dianna Manalo - Expiration 11/15/2025. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Dianna Manalo, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Dwayne Mason Jr. made an announced inspection to the facility for purpose of conducting a pre-licensing inspection. LPA arrived and was greeted and granted entry by Licensee Diana Manalo and Administrators Jonathan San Diego and Delia Pardo. An application to operate a Residential Care Facility for the Elderly (RCFE) for (6) capacity, (0) ambulatory, (5) non-ambulatory, and (1) bedridden residents was received by Community Care Licensing (CCL) on 3/26/2024. The facility is a one-story home with five resident bedrooms, two bathrooms, living room, dining room, kitchen, laundry room, caregiver room, backyard and 2-car garage. Resident Bedrooms have all the necessary requirements including bed, chair, storage for clothing and ample lighting. LPA observed all windows were screened. All bathrooms have working plumbing and designated hand washing posters. Hot water measured 105 and 120 degrees Fahrenheit in the Resident bathrooms. LPA observed the fire extinguisher to be fully charged as indicated by the arrow pointing in the green zone. The fire extinguishers were purchased on 4/8/2024. Medication and First-Aid Kit will be locked in a cabinet near the living room. Resident & Staff Files will be locked with medication. LPA observed chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and are stored and locked in the garage. Linens are store in hallway closets. Emergency Phone Numbers, Exit Plan, Activity Calendar and Menu are all posted and available for review. LPA observed other necessary postings near the living room and dining room. The fire clearance was approved by a fire inspector of Orange County Fire Authority on 4/9/2024. Smoke and Carbon Monoxide detectors are stationed throughout the home and are wired together. Both types of detectors were tested and noted as operational. Operational appliances include a gas stove, oven, one refrigerator, freezer, dishwasher, microwave, washing machine and dryer. LPA provided the Component III presentation to offer information and resources regarding maintaining facility compliance. The designated AD was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. Exit interview was conducted and a copy of this report was provided to designated AD.the state’s words, verbatim · CDSS document, Jul 2, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: Dianna Manalo, Licensee; Jonathan San Diego, Admin Interview Method: Virtual interview (MS Teams) On 6/18/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 18, 2024