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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006222
Report Date: 09/09/2026
Date Signed: 09/09/2026 04:55:13 PM

Substantiated


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
09/06/2026 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260906134831
FACILITY NAME:IVY AT WELLINGTON, THEFACILITY NUMBER:
306006222
ADMINISTRATOR:ALVARADO, DAVIDFACILITY TYPE:
740
ADDRESS:24903 MOULTON PARKWAY BLDG BTELEPHONE:
(949) 458-2311
CITY:LAGUNA HILLSSTATE: CAZIP CODE:
92653
CAPACITY:160CENSUS: 128DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:David Alvarado- Executive DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee did not a provide comfortable temperature for residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit for the purpose of initiating the complaint investigation into the above allegation. LPA met with Executive Director (ED) David Alvarado and explained the reason for the visit. During the course of the investigation, LPA toured the dining room to obtain a temperature reading, interviewed three staff, and ten residents. The following documentation were also obtained for review: Resident/Staff Rosters, Census Sheet, Preventative Maintenance Agreement, Proposals, Invoices, Service Reports, Face Sheets, and Physician's Reports of residents.

The investigation is as follows: Regarding the allegation, Licensee did not provide a comfortable temperature for residents, it is alleged that the temperature in the dining room is not at a comfortable level and on some days goes above the allowable temperature range. According to the online weather forecast for today's date, an extreme heat warning was issued with a projected temperature of 94 degrees Fahrenheit. However, the actual temperature reading reached 104.6 at 12:32pm outside.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
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 5
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
09/06/2026 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260906134831

FACILITY NAME:IVY AT WELLINGTON, THEFACILITY NUMBER:
306006222
ADMINISTRATOR:ALVARADO, DAVIDFACILITY TYPE:
740
ADDRESS:24903 MOULTON PARKWAY BLDG BTELEPHONE:
(949) 458-2311
CITY:LAGUNA HILLSSTATE:CAZIP CODE:
92653
CAPACITY:160CENSUS: 128DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:David Alvarado- Executive DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee did not ensure air conditioning is working properly.
INVESTIGATION FINDINGS:
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Regarding the allegation, Licensee did not ensure air conditioning is working properly, it is alleged that the new units would not be available till December 2026. Interviews with three of three staff and ten of ten residents confirmed the air conditioning unit is not operational. Based on the review of the proposals, service reports, invoices, and emails, the investigation revealed the following: a proposal to replace the Air Handling Unit (AHU) was "recommended" on September 10, 2025 due to the "age and overall condition." Per the maintenance reports/invoices, there was no indication of the AHU being in disrepair on September 15, 2025, December 8, 2025, and December 9, 2025. A second proposal dated March 20, 2026 concluded a new AHU was necessary. A third proposal dated April 9, 2026 was signed and accepted to begin services on May 13, 2026. Based on invoices, four temporary portable ac units were initially installed on April 22, 2026 in preparation of the warmer months ahead with two additional units installed on September 4, 2026 due to the recent heat wave. Based on the review of the evidence, the facility attempted to resolve the situation by installing temporary air conditioning units.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20260906134831
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: 09/09/2026
NARRATIVE
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However, due to the scope and complexity of the project, the work required additional time for approval and obtaining the necessary permit for pre-construction. Currently, the manufacturing company is in the early stages of production building the AHU with an estimated production completion time on or approximately February 8 2027. The delivery of the AHU will be confirmed once the the carrier confirms shipping date and installation after delivery will take approximately 10-14 working days. The project should be completed by end of March 2027. The investigation revealed there was no gap in timeline that could have been avoided or that contributed to further delays.

Therefore, based on observation, interviews, and record review, the above allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director David Alvarado, and a copy of this report was provided at the end of the visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20260906134831
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/22/2026
Section Cited
CCR
87303(b)(2)
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87303 Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature.

This requirement was not met as evidenced by:
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Executive Director Alvarado stated the following: complimentary meal delivery services are effective today for PM meals, closing off sections of dining room effective 9/10/26, repositioning and/or reconfiguring the existing six portable ac units with the possiblity of adding additional units if necessary if the temperature is not maintained within a comfortable range by POC due date of 9/22/26. ED will forward plan upon meeting with technician asap.
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Based on observation and record review, the licensee did not ensure a comfortable temperature was maintained in the dining room during the heat wave (104.6) which poses a potential Health, Safety, and/or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20260906134831
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: 09/09/2026
NARRATIVE
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The initial reading of the temperature of the dining room measured between the range of 81.2-84.8 degrees Fahrenheit in different parts of the room at 10:30am. A subsequent reading of 87.2 degrees was taken at 12:58pm. LPA observed six 15-ton portable air conditioning units placed in different areas of the dining room. Three fans were positioned to circulate the cool air from the portable units, which measured 60.2 degrees Fahrenheit. Although the facility made attempts to address the issue by placing portable cooling units and fans, the temperature remained outside the required range by regulation. Title 22 regulation as per 87303 states facility shall cool rooms to a comfortable range between 78 and 86 degrees, or in areas of extreme heat to 30 degrees less than the outside temperature. The indoor temperature should have been maintained at least 30 degrees below the outdoor temperature of 104 degrees.

Therefore, based on observation and record review, the allegation, Licensee did not provide a comfortable temperature for residents is deemed SUBSTANTIATED.

An exit interview was conducted with Executive Director David Alvarado, and a copy of this report and the appeal rights were provided at the end of the visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5