198320433-12-29-2025-11-AS-UCOL-DQSTVP-20260129140417

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 12/29/2025
Date Signed: 12/29/2025 03:51:52 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
12/22/2025 and conducted by Evaluator Mario Leon

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20251222105521

FACILITY NAME:	OCEANVIEW LIVING OF SAN PEDRO		FACILITY NUMBER:	198320433
ADMINISTRATOR:	SABINA NAYBERG		FACILITY TYPE:	740
ADDRESS:	2100 SOUTH WESTERN AVENUE		TELEPHONE:	(310) 548-0625
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90732
CAPACITY:	86	CENSUS: 64	DATE:	12/29/2025
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Maria Galvan - Administrator		TIME COMPLETED:	04:44 PM

ALLEGATION(S):

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Staff did not seek medical treatment for resident
Staff did not observe resident's significant weight loss

INVESTIGATION FINDINGS:

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On 12/29/25 Licensing Program Analyst (LPA) Mario Leon conducted an initial unannounced complaint visit at the facility. LPA was met by staff one, Maria Galvan - Administrator (S1) and the purpose of the visit was explained.
The investigation consisted of the following:
LPA requested staff roster, resident roster, in-staff trainings (dated: 10/01/25 through 11/13/25), private email between the facility and a responsible person(s) (dated: 12/28/25) and resident five through resident six (R5-R6) face sheet, pre-appraisal and appraisal, medical assessment(s) (dated: various). LPA interviewed four (4) staff (S1-S4) and four (4) residents (R1-R4).
The investigation revealed the following:
Regarding the allegation “Staff did not seek medical treatment for resident”, it is being alleged that a resident was discovered with pre-existing medical condition(s)

Report continues, please see LIC9099C.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025

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 11-AS-20251222105521

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: OCEANVIEW LIVING OF SAN PEDRO	FACILITY NUMBER: 198320433
	VISIT DATE: 12/29/2025

NARRATIVE

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Record reviews revealed the following: a resident (R5) was admitted on 10/14/25 and was assessed on 07/15/25. Nowhere on the appraisal or pre-appraisal does it mention of any pre-existing medical condition for R5. Due to R5's behavior, staff have not set a baseline for R5. Upon R5 being transported to the hospital, hospital staff had then observed R5 to have a change of condition. The only way the facility is made aware of a change in condition, while R5 has resided at the facility, was the fact that R5's responsible person drove R5 to the hospital, as R5 denied transportation via Ambulance. This led the hospital to note changes in medical condition. Interviews revealed the following: three (3) out of four (4) residents and all four (4) staff have denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

Regarding the allegation "Staff did not observe resident's significant weight loss" it is being alleged that staff did not observe a change in weight. Record reviews revealed the following: During the previous administrator's stay, the facility had no longer kept a weight log of residents in care. Staff one's, Maria Galvan, plan is to weigh residents once per month to keep a resident log. Log of residents weight (dated: 12/01/25) have not logged R5, as R5 denied conducting the weight log. The only log of R5's weight is from their physician's report, (dated: 04/11/25) noting R5 at one-hundred pounds (100Lbs). Interviews revealed the following: all four (4) residents and all four (4) staff have denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

There have been zero (0) deficiencies cited during today's visit.

An exit interview was held with Maria Galvan and a copy of this report has been provided.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025

LIC9099 (FAS) - (06/04)

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