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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320394
Report Date: 06/02/2026
Date Signed: 06/02/2026 05:31:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2026 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260528201032
FACILITY NAME:ANGEL'S ON WING'S LLCFACILITY NUMBER:
198320394
ADMINISTRATOR:CLANTON, MARILYNFACILITY TYPE:
740
ADDRESS:1440 W 92ND STREETTELEPHONE:
(310) 684-8859
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:6CENSUS: 5DATE:
06/02/2026
UNANNOUNCEDTIME BEGAN:
01:58 PM
MET WITH:Marilyn ClantonTIME COMPLETED:
05:40 PM
ALLEGATION(S):
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Staff handled resident in a rough manner.
INVESTIGATION FINDINGS:
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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
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
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 2
Control Number 11-AS-20260528201032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: ANGEL'S ON WING'S LLC
FACILITY NUMBER: 198320394
VISIT DATE: 06/02/2026
NARRATIVE
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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.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2