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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603220
Report Date: 07/25/2025
Date Signed: 07/25/2025 03:57:40 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
07/18/2025 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250718085047
FACILITY NAME:CITY VIEW LA, LLCFACILITY NUMBER:
198603220
ADMINISTRATOR:GINSBERG, MENDYFACILITY TYPE:
740
ADDRESS:515 N LA BREA AVETELEPHONE:
(323) 938-2131
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:166CENSUS: 111DATE:
07/25/2025
UNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Mendy Ginsberg, Executive DirectorTIME COMPLETED:
04:23 PM
ALLEGATION(S):
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9
Staff did not provide medication assistance to residents in care in a timely manner
INVESTIGATION FINDINGS:
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On 07/25/2025 Licensing (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the facility. LPA was met by staff one, Mendy Ginsberg – Executive Director (S1), and the purpose of the visit was explained.
The investigation consisted of the following:
On 07/24/2025 LPA requested and reviewed facility documents including: staff roster (dated: 07/24/2025), resident roster (dated: 07/2025), seven (7) resident records (R1-R7), listed as follows: physician's reports (LIC-602a) and Appraisal Needs and Services (Dated: various). LPA interviewed three (3) residents (R3 - R5) out of one-hundred and nine (111) residents and one (1) out of seventy-six (76) staff.
On 07/25/2025 LPA obtained two (2) staff training records (S4 and S8). LPA requested and reviewed seven (7) resident records (R1-R7), listed as follows: Electronic Medication Administration Record(s) (eMAR) (dated: 06/01/2025 through 07/24/25) and LPA toured the second, third, and fourth (2nd, 3rd, 4th) floors and interviewed five (5) residents (R1 and R2, R6 through R8) and six (6) staff (S1 and S3 through S7).
Report continues, see LIC9099-C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
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-20250718085047
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: CITY VIEW LA, LLC
FACILITY NUMBER: 198603220
VISIT DATE: 07/25/2025
NARRATIVE
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The investigation revealed the following:
Regarding the allegation, “Staff did not provide medication assistance to residents in care in a timely manner", is has been alleged that residents are missing meals due to a delay in medication administration. On 07/24/2025 through 07/25/2025, from 9:00AM through 4:45PM LPA interviewed eight (8) residents and seven (7) staff (S1 through S7). Six (6) out of eight (8) residents and all seven (7) staff interviewed have not agreed the allegation has taken place and that all residents are always provided a meal. Record reviews have indicated all seven (7) eMAR(s), dated between 06/01/2025 though 07/24/2025, show all seven (7) residents (R1 through R7) have received all medication administration during the dates listed above. Record reviews have also revealed that S4 and S8 have completed their initial and ongoing (yearly) training, as mandated under Title 22 regulation.
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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2