198320433-7-28-2026-11-AS-PMAA-DWNUKR-20260805153935

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 07/28/2026
Date Signed: 07/28/2026 03:17:04 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
05/06/2026 and conducted by Evaluator Elvira Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260506145244

FACILITY NAME:	OCEANVIEW LIVING OF SAN PEDRO		FACILITY NUMBER:	198320433
ADMINISTRATOR:	MARIA GALVAN		FACILITY TYPE:	740
ADDRESS:	2100 SOUTH WESTERN AVENUE		TELEPHONE:	(310) 548-0625
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90732
CAPACITY:	86	CENSUS: 77	DATE:	07/28/2026
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Anita Csukardi		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff do not ensure resident is bathed.
Staff leave resident in soiled incontinence briefs.

INVESTIGATION FINDINGS:

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On 07/28/26 Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced subsequent complaint visit to further investigate the allegations listed above. The department met with Anita Csukardi, Executive Director, and the purpose of the visit was explained. The department was granted entry to the facility.

The investigation consisted of the following: On 05/12/26, the department received the following documents: staff roster, resident roster, staff notes, and End of Shift Report’s. The department conducted interviews with staff #1-#5 (S1-S5), residents #2-#6, and witness #1 (W1).

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

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 3

Control Number 11-AS-20260506145244

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: 07/28/2026

NARRATIVE

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Based on record review 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.

Allegation: “Staff leave resident in soiled incontinence briefs.” It is being alleged that a resident is left in soiled incontinence briefs for hours at night. On 05/12/26, the department conducted interviews with S1-S6. Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said residents are changed every two hours and as needed.

On 05/12/26, the department conducted interviews with R2-R6, and on 07/28/26, the department conducted an interview with R1 and R7. Of those interviewed, 7 out of 7 residents could not corroborate the allegation. 4 out of 7 residents said they do not require any assistance with incontinence care, while 3 out of 7 residents said they do. Of the 3 residents who require assistance, 2 reported that they had not been left in soiled incontinence briefs for an extended period of time, and 1 resident did not respond to the question. 7 out of 7 residents said they are satisfied with the services provided to them at the facility.

Based on observation 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.

An exit interview was conducted, and a copy of this report has been provided to Anita Csukardi.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260506145244

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: 07/28/2026

NARRATIVE

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On 07/28/26, the department reviewed resident #1’s (R1’s) service records and obtained copies of the following documents: Identification and Emergency Information, Preplacement Appraisal Information, Physician’s Report, Service Plan, Welbe Health Facility Assessment Determination Addendum, Monthly Shower Assistance Log (for the months of June-July 2026), and emails between staff and R1’s family member. Additionally, the department conducted an interview with R1 and resident #7 (R7).

The investigation revealed the following:

Allegation: “Staff do not ensure resident is bathed.” It is being alleged that a resident has not received assistance with bathing since they were admitted to the facility. On 05/12/26, the department conducted interviews with S1-S6. Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said residents are bathed at least twice a week and as needed.

On 05/12/26, the department conducted interviews with R2-R6, and on 07/28/26, the department conducted an interview with R1 and R7. Of those interviewed, 7 out of 7 residents could not corroborate the allegation. 4 out of 7 residents said they do not require any assistance with bathing, while 3 out of 7 residents said staff assist them with bathing. 2 out of those 3 residents said staff assisted them with bathing twice a week. 7 out of 7 residents said they are satisfied with the services provided to them at the facility. An interview with S1 revealed that staff had been assisting R1 with bathing twice per week. However, R1's family recently requested that a third weekly shower be added. S1 stated that a meeting was held on 05/07/26 with R1's family and the Assisted Living Waiver (ALW) coordinator to discuss the request. According to S1, all parties agreed that R1 would receive bathing assistance three times per week.

On 07/28/26, the department conducted a record review of R1’s Service Plan (dated: 05/07/26) which indicated that staff is to provide bathing assistance to R1 three times a week. An email dated 05/10/26 between R1's family member and facility staff revealed that the family member followed up to clarify the agreement reached during the meeting with facility staff. The email confirmed the understanding that R1 would receive showers three times per week. A review of R1’s Monthly Shower Assistance Log (dated: June/July 2026) revealed that R1 has been receiving a shower three times a week.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC9099 (FAS) - (06/04)

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