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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006222
Report Date: 11/17/2025
Date Signed: 11/17/2025 09:46:34 AM

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
10/24/2025 and conducted by Evaluator Ruth Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251024160735
FACILITY NAME:IVY AT WELLINGTON, THEFACILITY NUMBER:
306006222
ADMINISTRATOR:VADNAIS, GERRYFACILITY TYPE:
740
ADDRESS:24903 MOULTON PARKWAYTELEPHONE:
(949) 458-2311
CITY:LAGUNA HILLSSTATE: CAZIP CODE:
92653
CAPACITY:305CENSUS: 126DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Gerry VadnaisTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Facility did not ensure resident was not accorded reasonable accommodations.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegation. LPA arrived at the facility and was greeted at the door and granted entry. LPA spoke with Gerry Vadnais, Executive Director and explained the purpose of the visit.

Findings are based upon this investigation which included tour of the facility, facility file review, and interviews conducted.

It is alleged that facility did not ensure resident was not accorded reasonable accommodations, specifically to resident (R1) sunroom being painted. LPA conducted a facility visit on October 29, 2025, and toured the facility and R1’s apartment. It was observed that R1’s sunroom had not been painted, or
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20251024160735
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: IVY AT WELLINGTON, THE
FACILITY NUMBER: 306006222
VISIT DATE: 11/17/2025
NARRATIVE
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painting hadn’t begun yet. Interview with staff stated that a notice was sent out to R1 on October 9, 2025, advising them that on October 13, 2025, the patio sunroom would be painted. Due to R1’s responsible party having concerns with the paint being used facility had not painted the sunroom. Staff stated that R1’s responsible party was concerned about the toxins the painting may have and what effects it would have on R1’s health since the sunroom was connected to apartment and it is an enclosed sunroom. Staff stated that R1 was given options to accommodate like moving apartments temporarily until painting was finished and dried completely. However staff and R1’s responsible party had not come to an agreement and project was put on hold until staff obtained the V.O.C. (volatile organic compounds) levels report as R1’s responsible party requested. Interview with resident indicated that painting to the sunroom had not begun and was unsure when it would begin since their daughter had a few concerns. Interview with R1’s responsible party stated that they had concerns with V.O.C. levels of the paint. However at the time of visit LPA obtained the report and provided a copy for R1 and their responsible party. Responsible party for R1 stated that they were satisfied with the report given had no concerns to report.

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.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC9099 (FAS) - (06/04)
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