198320433-2-24-2026-11-AS-SCIS-DWEVCK-20260728161913

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 02/24/2026
Date Signed: 02/24/2026 04:57:15 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
02/18/2026 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260218183034

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:	02/24/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	ADMINISTRATOR - MARIA GALVAN		TIME COMPLETED:	04:51 PM

ALLEGATION(S):

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Staff did not make resident's records readily available to emergency medical personnel.

INVESTIGATION FINDINGS:

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On 02/24/26 at 9:30 am Licensing Program Analyst (LPA) Troy Watson conducted an initial complaint visit regarding the allegation above. LPA met with Administrator Maria Galvan and the purpose of today’s visit was explained.

The investigation consisted of the following: On 02/24 /26 LPA Watson obtained copies of the following
documentation: Personnel report dated 02/23/2026, Resident Roster dated 02/23/2026, Face Sheet for R1 dated 08/01/2025, Medical Assessment dated 07/25/25, Medication Discharge Report dated 07/25/25, Medication Administration Record dated,02/2026, and Training Sign in Sheets Care Tips for Professional Caregivers dated 11/13/2025. How to Handel Residents Having a Seizure. LPA Watson conducted Interviews with Residents #1-6 (R1-R6), and with Staff #1-6 (S1-S6). LPA toured the facility with Administrator Maria Galvan and found the facility to be clean and in good repair.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

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-20260218183034

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: 02/24/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff did not make resident records readily available to emergency medical personnel.

This allegation alleges that staff failed to make the resident’s medical records readily available to emergency medical personnel during a medical emergency. LPA Watson conducted an interview with Administrator (A1) Maria Galvan. A1 stated that when staff are asked to make a resident’s records readily available to emergency medical personnel, staff are trained to immediately perform a quick assessment and stabilize the resident. A1 further stated that staff are trained to ask the residents if they are in pain, then contact the Med Tech and inform them of the situation. If the situation requires an immediate emergency response, staff are trained to call 911. A1 stated that after paramedics determine the resident needs to go to the hospital, staff notify the family and the Wellness Director and then monitor the resident while they are away at the hospital. A1 also stated that they plan for a discharge and reassessment to determine if there are any changes in care. A1 stated that they work with the family and/or residents to accommodate any new level-of-care needs. A1 stated that staff immediately call 911, gather the emergency packet, and provide it to paramedics.

The emergency packet contains the face sheet, insurance information, and medical list. LPA Watson conducted Interviews with Residents #1-6 (R1-R6). Out of those interviewed 6 out of 6 Residents interviewed denied the above allegation. LPA Watson conducted Interviews with Staff #1-6 (S1-S6). Out of those 6 interviewed, 6 out of 6 staff members denied the above allegation. LPA Watson obtained and reviewed a Medication Discharge Report for R1 dated 07/25/2025 and it showed no new medications were administered, medications to continue taking that have changed, and medications to discontinue taking for R1. A1 also stated that since she started working at the facility 11/20/2025 the Administrator has not been informed or notified about a seizure concerning R1. LPA Watson requested and did not receive any documentation verifying that R1 was admitted to the hospital for any seizures.

An exit interview was conducted with the Administrator Maria Galvan, and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

LIC9099 (FAS) - (06/04)

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