198320433-2-18-2026-11-AS-RORN-DSVUDV-20260406153007

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 02/18/2026
Date Signed: 02/18/2026 01:24:47 PM

Substantiated

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
02/09/2026 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20260209143909

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: 66	DATE:	02/18/2026
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Administrator Maria Galvan		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Facility sink is clogged.

INVESTIGATION FINDINGS:

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On 02/18/26 at 9:20 am Licensing Program Analyst (LPA) Villegas conducted a initial complaint visit regarding the allegation(s) above. LPA met with Administrator (staff #1/S1) as the purpose of today’s visit was explained.

The investigation consisted of the following: On 02/18 /26 LPA Villegas obtained copies of the staff and resident rosters, facility menus for January 2026- February 2026, and a copy of eviction notice(s) issued on 12/4/25. On 02/18/26 from 10:00 am- 11:am LPA conducted Interviews with residents #1-6 (R1-R6), and from 11am - 12pm LPA conducted interviews with staff #1-6 (S1-S6). On 02/18/26 LPA observed lunch services, and conducted tour of facility kitchen, med rooms on the first and second floor, and the kitchenette located on the second floor.

The investigation revealed the following:
Allegation: Facility sink is clogged.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

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-20260209143909

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: 02/18/2026

NARRATIVE

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It is being alleged that the sinks located in the second floor kitchen and second floor medication room has been clogged for weeks. On 02/18/26 from 10:00 am- 11:am LPA conducted Interviews with R1-R6 regarding the allegation above. 6 of the 6 residents interviewed reported having no knowledge about kitchen or medication room sinks being clogged as they are not experiencing issues with the sinks located in their restroom. On 02/18/26 from 11am - 12pm LPA conducted interviews with S1-S6 regarding the allegation above. 3 of the 6 staff interviewed reported being unaware of the allegation above, 1 of 6 staff interviewed denied the allegation above, 1 of 6 staff interviewed confirmed the allegation above and reported 1 side of the kitchen sink appears to be clogged, 1 of 6 staff interviewed denied the allegation above and stated there were no reports on 02/17/26 that the sink was clogged. On 02/18/26 LPA conducted a tour of the facility kitchen, the med rooms on the first and second floor, and the kitchenette located on the second floor. LPA did not observe any sinks located in the med rooms, LPA observed the sink in the kitchenette located on the second floor to be clogged on the right side.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division (6) and Chapter (8) are being cited on the attached LIC 9099D.

Exit interview conducted, appeal rights explained, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260209143909

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/18/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/25/2026 Section Cited CCR 87303(a)	1 2 3 4 5 6 7	The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observation and interviews the conducted	1 2 3 4 5 6 7	Facility maintenance staff used snake to unclog the right side of the 2nd floor kitchenette sink, citation was cleared while LPA was still at the facility.
	8 9 10 11 12 13 14	the right side of the sink in the 2nd floor kitchenette is clogged and draining slowly. This poses a potential health and safety risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

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