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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 04/13/2026
Date Signed: 04/13/2026 02:54:47 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 Sparkle Day
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260218183034
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: 74DATE:
04/13/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria Galvan, AdministratorTIME COMPLETED:
02:30 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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LPA Sparkle Day conducted a subsequent visit to the facility regarding the above allegation of this investigation. Upon arrival LPA met with Cody Wagner and explained the purpose of this visit. Administrator Maria Galvan arrived shortly after and was also informed of the purpose of the visit.
The Investigation consisted of the following:

ALLEGATION #1: Staff did not make resident's records readily available to emergency medical personnel
It is alleged that facility staff did not provide emergency medical staff with emergency medical records of R#1
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
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
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-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: 04/13/2026
NARRATIVE
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Galvan and found the facility to be clean and in good repair.

During todays visit LPA Sparkle Day requested to speak with Staff # 3 who was present date of incident 2/14/26. Staff #3 did not recall specific incident, however states she always prints out residents face sheet and medication list during all emergency calls. LPA Day requested Special Incidents for R#1 , however none was found for R#1. LPA reviewed Facility SIR in Regional office from January, 2026 to February 2026 and did not observe any SIRs for R#1.
Based upon this investigation, LPA finds that 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
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2