191601613-6-4-2026-11-AS-SCIS-DV7UJX-20260619153814

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191601613
Report Date: 06/04/2026
Date Signed: 06/04/2026 10:54:54 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2026 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20260413115257

FACILITY NAME:	WILMINGTON GARDENS		FACILITY NUMBER:	191601613
ADMINISTRATOR:	FLORES,V.ANDT.		FACILITY TYPE:	735
ADDRESS:	1311 WEST ANAHEIM STREET		TELEPHONE:	(310) 835-6366
CITY:	WILMINGTON	STATE: CA	ZIP CODE:	90744
CAPACITY:	48; 48	CENSUS:	DATE:	06/04/2026
		UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Victorio Jun Flores		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility gate is in disrepair.
Facility bathroom is dirty.
Facility shower is dirty.
Staff denies clients food.

INVESTIGATION FINDINGS:

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This report supersedes report dated 05/13/26 due to typos observed, complaint findings will remain the same.

On 05/13/26 Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Victorio Jun Flores as the purpose of the visit was explained.

The investigation consisted of the following: On 04/15/26 LPA Villegas obtained copies of the staff and client rosters, staff shift duties, and a copy of the house rules. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with Staff #1-5 (S1-S5). On 04/15/26 LPA toured the entire facility and observed lunch service. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with clients # 1-6(C1-C6).

The investigation revealed the following:
Allegation: Facility gate is in disrepair.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260413115257

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: WILMINGTON GARDENS	FACILITY NUMBER: 191601613
	VISIT DATE: 06/04/2026

NARRATIVE

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It is alleged that facility gate does not close properly and that the security door for the main gate is locked all night. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 1 of the 5 staff interviewed reported having no knowledge of the above allegation. 4 of the 5 staff interviewed denied the above allegation. 4 of the 5 staff interviewed reported that the motor to the automatic gate is currently not working, however the gate is still able to close manually. Additionally, staff report that clients were provided with keys to the gate door so that they can access the community and facility at night. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the above allegation. 6 of the 6 clients interviewed reported that the staff must close the gate manually at night. Additionally, 6 of the 6 clients interviewed reported that they have never been locked out of the facility as they have a key to the gate door. On 04/15/26 during tour of the facility, LPA asked S1 to demonstrate how the facility gate is manually closed. LPA observed gate to close with no issues nor door jams. LPA also observed the side gate door to open and close with no problems.

Allegation: Facility bathroom is dirty.

It is alleged that the facility bathrooms are dirty. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 5 of the 5 staff interviewed denied the allegation above and reported that facility bathrooms are cleaned daily. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the above allegation and reported that facility bathrooms are cleaned daily. On 04/15/26 LPA observed bathrooms to be clean, and on 05/13/26 LPA observed staff cleaning upon arrival to the facility.

Allegation: Facility shower is dirty.

It is alleged that facility showers are dirty. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 1 of the 5 staff interviewed reported being unaware of how often the showers are cleaned. 4 of the 5 staff interviewed denied the above allegation and reported that showers are cleaned daily. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the allegation above and reported that showers are being cleaned. On 04/15/26 and 05/13/26 LPA observed facility showers to be clean at the time of visit.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260413115257

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: WILMINGTON GARDENS	FACILITY NUMBER: 191601613
	VISIT DATE: 06/04/2026

NARRATIVE

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Allegation: Staff denied clients food

It is alleged that if a client requests a second serving, they are denied. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 1 of the 5 staff interviewed confirmed the above allegation and reported that lately, second servings have not been provided when requested. 4 of the 5 residents interviewed denied the above allegation and reported that clients are provided with a second serving when requested and when second servings are available. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the allegation above and reported that they are not denied food when requested. On 04/15/26 LPA observed lunch service, LPA observed all clients eating lunch in the dining room and did not observe any client requesting a second serving.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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