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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 11/24/2025
Date Signed: 11/24/2025 03:14:20 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
11/14/2025 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251114132041
FACILITY NAME:OCEANVIEW LIVING OF SAN PEDROFACILITY NUMBER:
198320433
ADMINISTRATOR:SABINA NAYBERGFACILITY TYPE:
740
ADDRESS:2100 SOUTH WESTERN AVENUETELEPHONE:
(310) 548-0625
CITY:SAN PEDROSTATE: CAZIP CODE:
90732
CAPACITY:86CENSUS: 64DATE:
11/24/2025
UNANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Maria Galvan - AdministratorTIME COMPLETED:
03:32 PM
ALLEGATION(S):
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Staff do not provide activities for the residents in care.
Facility is unkempt.
INVESTIGATION FINDINGS:
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On 11/24/25 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, visit to investigate the allegations listed above. LPA was met by staff one, Maria Galvan (S1) and the purpose of the visit was explained.
The investigation consisted of the following; On 11/24/25 LPA requested and reviewed resident and staff rosters as well as October and November activities list and invoices from landscaping services. LPA interviewed six (6) residents (R1-R6) and two (2) staff (S1-S2).
The investigation revealed the following:
Regarding the allegation, “Staff do not provide activities for the residents in care.", it is being alleged that residents can only watch TV in the hallway.

Report continues, please see LIC9099C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
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 11-AS-20251114132041
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: 11/24/2025
NARRATIVE
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Record reviews revealed the following; on 11/24/25 LPA reviewed October and November activities list, which pertained to dates listed as follows: 10/25/25, 10/26/25, 10/27/25, 10/28/25, 10/29/25, 10/30/25, 10/31/25, 11/10/25, 11/11/25, 11/12/25, 11/13/25 and 11/14/25. The dates provided include, but not limited to, indoor and outdoor activities. During LPA's tour, LPA observed an exercise activity that had began on 10/27/25 from 09:30AM to 10:00AM; also known as "Easy Fitness Exercise". At 10:38AM, LPA observed three (3) individuals conducting hair treatments, including hair coloring and cutting. On 11/24/25, starting at 2:30PM, there is a community meeting to discuss residents smoking outside of designated smoking areas in order to address smoke alarms that have been triggered. All two staff (S1-S2) and four (4) out of six (6) residents (R1-R3, R6) have not agreed 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 the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation, "Facility is unkempt", it is being alleged that the outdoors of the facility is unkempt. Upon LPA's arrival, from 09:00AM through 1:30PM, LPA observed a team of landscapers pruning shrubbery and trimming the lawn of the facility. LPA also observed the indoors of the facility to be kept in clean, safe and sanitary fashion. Record reviews revealed the following: An invoice from the landscaping company, dated 10/15/25 and 11/24/25 by Star Garden Supply, have been marked as "clean-up" and "prune and trim" with respective dating. All two staff (S1-S2) and four (4) out of six (6) residents (R1-R3, R6) have not agreed 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 the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was held with staff one, Maria Galvan (S1) and a copy of this report has been provided.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2