306005672-4-27-2023-22-AS-AORZ-CSMNZ5-20230609105346

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005672
Report Date: 04/27/2023
Date Signed: 04/27/2023 01:22:18 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/19/2023 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230419114916

FACILITY NAME:	WELLINGTON, THE		FACILITY NUMBER:	306005672
ADMINISTRATOR:	GERALD VADNAIS		FACILITY TYPE:	740
ADDRESS:	24903 MOULTON PARKWAY		TELEPHONE:	(949) 458-2311
CITY:	LAGUNA HILLS	STATE: CA	ZIP CODE:	92653
CAPACITY:	160	CENSUS: 213	DATE:	04/27/2023
		UNANNOUNCED	TIME BEGAN:	11:19 AM
MET WITH:	Gerry Vadnais		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff do not meet residents' dietary needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to begin the investigation into the allegation listed above. LPA met with Executive Director Gerry Vadnais and explained the reason for the visit. LPA inspected the kitchen and dining room. LPA reviewed the facility menu. LPA interviewed staff and residents. The investigation revealed the following; it was alleged that staff add beans to every meal. LPA observed lunch being prepared and served to residents. Lunch was fresh made pizza with a green salad. There were no beans served with lunch. 10 out 10 residents interviewed reported not having beans with breakfast or lunch and could not recall the last time beans were served. Staff and residents reported that residents can always order a salad or sandwich and breakfast is served all day if they want something that is not listed on the daily menu. It was alleged that the facility adds sauces, creams and oils to most foods and fresh vegetables and fruit are not available. Staff and residents reported that any item can be made to order and that most vegetables and salads do not have oil or sauces added. 10 out of 10 residents reported that fresh fruit and vegetables are served daily and they had no issue getting either one. It was alleged that the facility does not follow special diets for residents with medical issues.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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-20230419114916

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: WELLINGTON, THE	FACILITY NUMBER: 306005672
	VISIT DATE: 04/27/2023

NARRATIVE

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LPA observed there are 2 residents at the facility with special diet requirements. The information concerning their diets is posted in the kitchen. Staff reported that both residents have meals prepared according to their dietary requirements. The residents with special diets could not be located to be interviewed. It was alleged that the facility re-cooks foods and serves it to residents again. Staff interviewed reported that no food is re-heated and served again. 10 out of 10 residents interviewed reported all the food received was fresh and did not think the facility re-used old food. 10 out of 10 residents reported they were happy with the food at the facility. LPA observed the kitchen, dining room and food being served to residents meets Title 22 requirements. Based on the evidence gathered through a review of facility documents, observations and interviews, the allegation, staff do not meet residents' dietary needs is deemed, unfounded meaning the allegation is false could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report provided.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC9099 (FAS) - (06/04)

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