306005672-5-19-2025-22-AS-MSTC-DH74NQ-20250530191528

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005672
Report Date: 05/19/2025
Date Signed: 05/19/2025 12:03:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/18/2022 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220118110725

FACILITY NAME:	WELLINGTON, THE		FACILITY NUMBER:	306005672
ADMINISTRATOR:	HILES, LINDA		FACILITY TYPE:	740
ADDRESS:	24903 MOULTON PARKWAY		TELEPHONE:	(949) 458-2311
CITY:	LAGUNA HILLS	STATE: CA	ZIP CODE:	92653
CAPACITY:	0	CENSUS: 0	DATE:	05/19/2025
		UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Gerry Vadnais		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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-Facility food is not of the quality necessary to meet residents needs.
-Facility staff do not answer the phone at the front desk.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegations. LPA arrive at facility was greeted and granted entry by staff. LPA spoke with Gerry Vadnais, Executive Director and explained the purpose of the visit.

Findings are based upon this investigation which included resident file review, tour of the physical plant of the facility and interviews conducted.
It is alleged that facility food is not of the quality necessary to meet resident’s needs. LPA toured the facility kitchen, and it was observed that there were sufficient amount of quality and quantity of perishable and nonperishable food for residents. LPA observed food being prepped and staff preparing the food for the residents as well as meals for the residents that are vegetarian. In addition, LPA obtained a copy of

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

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 22-AS-20220118110725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: WELLINGTON, THE	FACILITY NUMBER: 306005672
	VISIT DATE: 05/19/2025

NARRATIVE

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the facility weekly menu for review, and tray service menus and observed the food service to be well balanced with a variety of choices as well as a FreshZest for those residents who are vegetarian. LPA conducted interviews with the Executive Director and indicated that resident have the choice to modify the menu to their liking as well as food being modified based on resident needs. Residents have the ability to choose from the variety of options offered out of the weekly menu. Interview with 5 of 5 residents stated that they didn’t have an issue with the food served and they have always been able to modify the food to their liking or request for something out of the menu. LPA toured the dining room, and bistro and observed food being served, menu posted, and alternative menu posted.

It is alleged that facility staff do not answer the phones at the front desk. Record review for front desk schedule reflects there to be three shifts. Schedule reflects a front desk staff at each shift as well as a trainee for an 8 hour shift. On a 24 hour period schedule reflects three – four staff on board. Interview with staff stated that the front desk is a 24 hour shift and there is a staff on board at all times and they are also cross training staff in the event that they need a backup staff member. Interview with 5 of 5 residents stated that whenever they call the front desk they have gotten an answer or if they leave a message that they receive a call back right away.

Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

This report was reviewed with facility representative and a copy was furnished to the facility.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

LIC9099 (FAS) - (06/04)

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