306005672-5-19-2025-22-AS-MSTC-DH6398-20250529180241

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005672
Report Date: 05/19/2025
Date Signed: 05/19/2025 12:25:01 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
07/05/2022 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220705131429

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:	11:55 AM
MET WITH:	Gerry Vadnais		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Drinking utensils are not cleaned properly by facility staff

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 allegation. LPA arrive at facility was greeted and granted entry by staff. LPA met with Gerry Vadnais, Executive Director and explained the nature of the visit.

Findings are based upon this investigation which included tour of the physical plant of the facility, tour of the dining room and interviews conducted.
It is alleged drinking utensils are not cleaned properly by facility staff. Tour of the dining room, LPA observed the utensils, cups, dishes in the dining rooms tables. LPA did not observe any dirty utensils in any of the tables. LPA toured the kitchen and observed where dishes are stored and observed a glass to have water marks but not dirty, utensils looked scratched from wear and tear but not dirty, and dishes looked

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-20220705131429

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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clean. Interview with 3 of 3 staff stated that they have seen glassware to have water marks but does not recall every seeing dirty utensils, dishes, cups, or glasses. Interview with 5 of 5 residents indicated that they have never had dirty utensils, dishes, cups, or glasses and indicated that they have seen on occasion water marks on the glasses, but not dirty. Residents indicated that if they do not have an issue with the cleanliness of them.

Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation 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.

An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at 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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