Angel's on Wing's

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Annual Required 1 Year Visit with a primary focus on infection control measures and the use of the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. LPA Bunker met with Phillip Pyrce, Care Provider, and explained the purpose of today's annual inspection. LPA verified that the facility has an approved Mitigation Plan Report and Infection Control Report. There are currently five (5) residents in placement. The facility's annual fees are up to date. There are 12 Domains in the Infection Control Practices will be observed and reviewed. "I will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." LPA Bunker and Care Provider Phillips conducted a tour of the facility, a single-story family home located in a residential neighborhood. The home includes a living room, dining area, kitchen, six bedrooms, two bathrooms, an office, a laundry area, and an indoor/outdoor activity space. The outdoor area is shaded and furnished with patio tables and chairs. Bedrooms #1–#6 are designated for resident use. See continued LIC809-C page 2 Continued LIC 809-C, Page 2 LPA Bunker observed the facility’s infection control practices, which included screening protocols for residents and visitors, readily available hand sanitizer, a visitor log, and the use of thermometers. Logs documenting daily COVID-19 screenings and temperature checks for both residents and staff were present. Personal Protective Equipment (PPE) was easily accessible to staff, with additional supplies on hand. The facility also maintained adequate liquid soap, paper products, cleaning materials, and disinfectants. Required documents were properly posted in the dining and living room areas. The following Title 22-regulated areas were audited and found to be in compliance: Bedrooms contained the required furniture, and bathrooms were clean and operational. Personal accommodations supported resident safety, privacy, and comfort, including the use of non-skid mats. The kitchen was evaluated for its ability to safely prepare and serve food. Food service and storage were reviewed, and the facility maintained an ample supply of perishable and nonperishable items. Resident medications were reviewed for proper storage, documentation, and system implementation. Medications were secured in the hallway, and all records were current. Common areas were observed to be clean, free of hazards, and suitable for meeting residents’ needs. The first aid kit was fully stocked. Smoke detectors and carbon monoxide detectors were in compliance. Hot water temperature measured 120 degrees Fahrenheit, within the allowable range of 105 to 120 degrees Fahrenheit. Fire extinguishers were fully charged, linens were adequately supplied, and the facility’s telephones were tested and found operational. Resident bedroom windows did not have sliding window locks with thumbscrews. All exit doors were in compliance. The yard was free of debris and hazards, and trash cans were properly covered. Staff have completed training on reporting dependent adult and elder abuse. The most recent fire clearance was dated July 27, 2026. Due to time constraints and technical difficulties, LPA Bunker will return at a later date to conclude the visit. No deficiencies were cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, Sep 17, 2026

Allegation investigated: Staff handled resident in a rough manner.

On 06/02/26, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit to gather information regarding the above allegation. LPA met with Marilyn Clanton. Investigation consisted of the following: On 06/0226, the Department obtained Personnel Record, Resident #1’s (R1) Medical Assessment, Needs and Services Plan, and Incident Reports. LPA Staff #1 – 2 and Residents #1 - #5. LPA observed video recording on 05/31/26 around 3:30 AM. Investigation revealed the following: Allegation: Staff handled resident in a rough manner. It is alleged Staff #1 (S1) threw Resident #1 (R1) into R1’s bedroom because of smoking. It is alleged Staff #1 (S1) threw Resident #1 (R1) into R1’s bedroom because of smoking. Record review of unusual incident report revealed R1 had three incidents concerning smoking in the facility in October 2025. Unsubstantiated Two out of two staff interviews (S1 – S2) denied the allegation. S1 and S2 indicated R1 likes to smoke inside of the facility and staff tries to take S1’s cigarette but R1 puts it out of their reach. S1 and S2 indicated that whenever staff try to take cigarettes from R1, R1 says staff is aggressive. Three out of five resident (R1 – R5) interviews indicated staff has not handled them in a rough manner. Regarding the allegation, “Staff handled resident in a rough manner,” based on record review, interviews, and observation, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.the state’s words, verbatim · CDSS document, Jun 2, 2026 · control 11-AS-20260528201032

Type of visit: Case Management - Legal/Non-compliance

A Non-Compliance Conference (NCC) was held at the El Segundo Adult and Senior Care Program Regional Office on 5/6/26. Participants in this meeting included the following: Janae Hammond, Interim Regional Manager; Alfonso Iniguez, Licensing Program Analyst, Antonine Richards, Licensing Program Analyst, and Marylin Clanton, Licensee The purpose of this conference is to discuss the multiple substantiated unlicensed complaints investigations by the department. Based on the complaint investigations listed below, the Operator retained residents that required elements of care and supervision. The Licensees stated the following plans in order to bring the facility into compliance: · Licensee will cease, apply for a license, or relocate residents who require elements of care and supervision from all unlicensed properties by 05/08/2026. An exit interview and a copy of this report were provided to Marylin Clanton/Licenseethe state’s words, verbatim · CDSS document, May 6, 2026

Allegation investigated: Unlawful eviction Staff does not provide resident with adequate toileting assistance Staff does not ensure residents care needs are being met Staff does not ensure resident is spoken to in an appropriate manner Licensee does not ensure staff are in good mental health to perform assigned duties

On 11/22/25, at 9:05am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Caregiver, Phillip Pryce. Caregiver called Marilyn Clanton, Administrator and they arrived shortly after. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint. On 09/28/25, LPA Saucedo conducted the initial visit. On 09/28/25, LPA Saucedo asked for the census, staff, and resident rosters. On 09/28/25, LPA Saucedo conducted a physical tour and interviewed staff and residents. On 11/12/25, LPA Gina Saucedo conducted another physical tour and conducted additional itnterviews and record review. LIC 9099C-continued Unsubstantiated Regarding the allegation: Unlawful eviction. It is being alleged that resident #1 (R1) had a week to leave the facility. During LPA’s interview with R1, R1 confirmed that they were not getting along with the administrator and wanted to leave the facility. LPA’s interview with the administrator confirmed that R1 did not want to stay there any longer and was there less than a month. LPA’s interview with witness #1 (W1) confirms that R1 called them and W1 helped them move out and was placed at another facility. LPA received R1’s admission agreement that shows R1 moved in on 09/04/25 and confirmed with W1 that R1 had left the facility by 09/22/25 with their help. W1 also confirmed that R1 was not evicted they were moved as soon as R1 called them to avoid any problems at the facility and that W1 has previously helped move R1 several times from different facilities. Therefore, based on the LPA's record review, staff, resident and witness interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. Regarding the allegation: Staff does not provide resident with adequate toileting assistance. It is being alleged that resident #1 (R1) was left multiple times in the bathroom. During LPA’s interview with R1, R1 stated, “for about 45 minutes, they were left in the bathroom unattended, they had a stroke and needed assistance with wiping themselves.” During LPA’s interview with two (2) out of the five (5) residents that need assistance with toileting, confirmed that staff do provide adequate toileting assistance, and they have never waited for 45 minutes for help. During LPA’s physical tour, LPA observed two (2) of the five (5) residents that need toileting assistance get help. The other three (3) residents do not need toileting assistance. During LPA’s interview with three (3) staff members, they confirmed R1 did need toileting assistance as well as two (2) other residents but they have never left anyone in the bathroom waiting for 45 minutes. Therefore, based on the LPA's staff and resident interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. LIC 9099C-continued Regarding the allegation: Staff does not ensure residents care needs are being met. It is being alleged that the staff ignore the residents’ care needs. LPA’s interview with three (3) staff members determined that R1 needed help with several ADL’s-Activities of daily living such as toileting, changing their clothes and showering. In addition, during LPA’s record review, it was documented on R1’s admission agreement, Physician’s report and CalAIM Tier Level Assessment Form what care needs R1 needed. Furthermore, LPA interviewed five (5) residents that confirmed their care needs are met by staff. Therefore, based on the LPA's record review, staff and resident interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. Regarding the allegation: Staff does not ensure resident is spoken to in an appropriate manner. It is being alleged that staff are verbally abusive. During LPA’s interview with resident #1 (R1), R1 confirmed that one (1) of the staff members would be verbally abusive to them when they needed help. During LPA’s interview with five (5) residents, all five (5) residents confirmed that none of the staff members are abusive to them. LPA interviewed three (3) staff that confirmed that they have never verbally abused any of the residents. During LPA’s interview with witness #1 (W1), W1 confirmed that R1 has mental health issues and is the problematic one. During LPA’s physical tour, LPA did not witness any of the residents being verbally abused. Therefore, based on the LPA's observations, staff, resident and witness interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. Regarding the allegation: Licensee does not ensure staff are in good mental health to perform assigned duties. It is being alleged that staff work 48 hours straight and as a result the staff are tired and not in good health which also prevents the staff from properly performing the duties of their jobs. LPA interviewed five (5) residents that confirmed staff are in good mental health and help them with everything they need. Three (3) staff confirmed that they do not work 48 hours. They work 12 hour shifts with the administrator's help and are in good mental health. LPA obtained their schedule that confirms they do not work 48 hour shifts. Therefore, based on the LPA's observations, staff, resident interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Nov 22, 2025 · control 11-AS-20250923095522

Type of visit: Required - 1 Year

On 09/28/25 at 10:21AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Caregiver, Phillip Pryce and disclosed the purpose of the visit. The Administrator, Marilyn Clanton, arrived about forty (40) minutes later. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:30am and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side of the kitchen. It is fully charged dated 09/2025. There is extra, food emergency kits in the kitchen and in the kitchen pantry. The sharps are locked and inaccessible to the residents in one (1) of the right side cabinets and chemicals/toxins are also kept in this area that are locked and inaccessible to the residents. The medication is also locked and inaccessible to the residents on the left hand side of a cabinet in the hallway. Outside/Backyard: There is a ramp in the back of the facility. The outside/backyard has furniture for residents with proper seating. The facility has a cameras in common areas. The facility has no pool or bodies of water. There is no garage. LIC 809C-continued Bedrooms and Bathrooms: There are six (6) bedrooms and two (2) bathrooms.. There are six (6) bedrooms that are for resident use with no bathroom. Two (2) bedrooms are currently unoccupied. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry and lightning. The bathrooms have proper toiletry and grab bars. There are chemicals/toxins that are kept in this area also in a cabinet that are locked and inaccessible to the residents. The bathroom temperatures of the water are within regulations reading at 115 degrees Fahrenheit. There is no staff bedroom. There is also an office that is locked in the hallway. The dining area/living room area has enough seating for the residents and the staff. There is a large television against the wall and there is also internet access and telephone access. There is another fire extinguisher in this area dated 09/2025. There is one (1) washer and dryer that is kept in the hallway. The carbon monoxide and smoke detectors are located throughout the facility and are operable and interconnected. The house temperature is set at 72 degrees. There are two (2) more fire extinguishers down the hallways dated 09/2025. Administrative: At the entrance of the facility against the wall, there is YES signs, Emergency Disaster Plan, Patient Rights, Personal Rights, Facility Sketch, Ombudsman sign, Oxygen sign, no smoking, the insurance plan is updated and is dated 12/19/2025. The last emergency disaster drill was July of 2025. Staff and Resident Files were reviewed: Three (3) out of three (3) staff files were reviewed. Six (6) out of six (6) resident files were reviewed. Four resident files were missing physician's report/tuberculosis, Six resident files were missing resident appraisal, pre-appraisal, functional capabilities and appraisal needs and services. An exit interview was conducted, citation(s) were issued, appeal rights was provided and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Sep 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Troy Watson conducted an unannounced visit to Angels On Wing’s LLC on 08/30/2024 at 03:07 PM. The LPA met with the Administrator Marilyn Clanton. The purpose of the visit was explained. Facility is licensed to serve 2 non-ambulatory and 4 ambulatory residents and currently has a census of (0). The Hospice waiver is for 3 residents. The facility does not handle any of the resident’s money. This home is a one-story home consisting of: (6) resident bedrooms, (2) bathrooms, (1) living room, (1) kitchen with a dining area, laundry room (located in the hallway, one office and a shaded patio area located in the back of the facility. The resident’s bedrooms had the required furniture, lamps, adequate bed linen and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked and found to be sanitary. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold and mildew. The water temperature measured between 115.2 F and 116.3 F in each bathroom and in the kitchen. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas such as the dining room and living room were clean and clear of hazards; doorways were free of obstructions. Evaluation continued on LIC809-C Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supplies were checked and adequately stocked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. All (10) Smoke/carbon detectors worked properly; the residence has (4) four fire extinguishers that are fully charged. First Aid kit was checked and properly stocked with scissors, tape, gauze, and certified manual. No bodies of water were observed around the facility. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. An exit interview was conducted, and a copy of this report was provided to the Administrator Marilyn Clanton.the state’s words, verbatim · CDSS document, Aug 30, 2024

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff member physically assaulted resident which in an injury. Staff abandoned resident. illegal eviction.

On 12/08/2023, Licensing Program Analyst Antonine Richard conducted a subsequent complaint to deliver findings regarding the above allegations. LPA met with Licensee Marilyn Clanton and the purpose of today’s visit was explained. LPA Richard and Licensee Clanton toured the physical plant. The investigation consisted of the following: On 10/26/2023, Licensing Program Analyst (LPA) Antonine Richard conducted a complaint investigation. LPA arrived at the facility at 9:00 AM. LPA met with Licensee Marilyn Clanton and the purpose of today's visit was explained. LPA Richard and Licensee Clanton toured the facility. LPA Richard reviewed a prospective client file. LPA interviewed the licensee and collected a copy of the file and a signed declaration letter. LPA also interviewed witness W1. Unsubstantiated The investigation revealed the following: Regarding the allegations: “Staff member physically assaulted residents which resulted in an injury.”, “Staff abandoned resident.”, and “Illegal eviction.” It was alleged that a resident from this facility was admitted to the hospital due to injuries and was declined by the licensee when resident was ready to be discharged. On 10/26/2023 interviewed the reporting party (RP) who denied reporting R1 being physically assaulted by staff at Angel Wings, all they know is that the resident was dumped at the hospital and admitted for three days. LPA interviewed witness W1 a manager at another facility who stated that they received a call from the hospital that a patient was dumped there by an unknown individual. LPA interviewed Licensee Marilyn Clanton who presented a signed written declaration and stated that they have not admitted any residents since they were licensed on 09/20/2023. On 10/26/2023 LPA conducted a tour of the facility and did not observe any residents or residents’ personal belongings present at the facility. Based on LPA observation, and interviews, LPA did not find sufficient evidence to support the above alleged allegations. Although the alleged allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged allegations did or did not occur. Therefore, the allegations are Unsubstantiated. Exit interview conducted and a copy of the report was provided to Licensee Marilyn Clanton.the state’s words, verbatim · CDSS document, Dec 8, 2023 · control 11-AS-20231025160046