Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Administrator (AD) Dianna Manalo’s Administrator certificate requirements have been completed and were submitted November 16, 2023 and is pending approval.

Del’s Haven IV is a one-story community with five bedrooms and two bathrooms. The facility capacity is 6 and the census was 5 during today’s visit. Residents were observed in the backyard getting some sunlight while exercising, and one resident was in their bedroom during the visit.

During the inspection, LPA Haley observed all resident bedrooms and bathrooms. All resident bedrooms had the necessary elements and were in compliance with regulation guidelines.

In the resident bathrooms, the hot water temperatures were measured. In bathroom #1 hot water measured at 115.1 degrees Fahrenheit, and in bathroom #2 hot water measured at 111.7 degrees Fahrenheit. No hazardous items were observed in the resident bathrooms. Both showers had nonskid matts and the grab bars were secure.

In the hallway, there was a cabinet with clean linens next to bathroom #1. Next to the closet with clean linens was a fully charged fire extinguisher mounted on the wall. There was a second cabinet with extra blankets and a vacuum. There was also a carbon monoxide detector mounted on the wall in the hallway.

In the kitchen LPA Haley observed a perishable and nonperishable food supply in compliance with regulation guidelines. Knives and sharp objects are kept locked in the drawer next to the stove. Medications were locked in a cabinet next to the refrigerator. Below the locked medication cabinet, there’s a cabinet with resident and staff files.