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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603220
Report Date: 10/16/2025
Date Signed: 10/16/2025 03:26:58 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
06/09/2025 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250609142659
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: 116DATE:
10/16/2025
UNANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Mendy Ginsberg - Executive DirectorTIME COMPLETED:
03:38 PM
ALLEGATION(S):
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Staff does not ensure that resident's toileting needs are met
INVESTIGATION FINDINGS:
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On 10/16/25 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent complaint visit to deliver these findings. LPA was met by Mendy Ginsberg (S2) and the purpose of the visit was explained.
On 06/19/25 Licensing (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the facility. LPA was met by staff two, Vanita Harris - Business Office manager (S2), and the purpose of the visit was explained.
The investigation consisted of the following:
On 06/19/25 LPA requested and reviewed facility documents including: staff roster (dated: 06/14/25), resident roster (dated: 06/19/25), Resident one, Residents six and seven (R1, R6-R7) physician's reports and R1's admission paperwork and R1's caretrack (care plan). LPA interviewed five (5) out of one-hundred and nine (109) residents and five (5) out of seventy-six (76) staff. Residents six and seven (R6-R7) were unavailable for interview, due to their current medical condition.

Report continues, please see LIC9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
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 3
Control Number 11-AS-20250609142659
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: 10/16/2025
NARRATIVE
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The investigation revealed the following : record reviews have revealed that three (3) out of three (3) residents (R1, R6-R7) are not Able to Care for Own Toileting Needs. Although the date mentioned is 06/08/25, R1's caretrack (care plan) shows that R1 has not received toileting assistance on three (3) consecutive occasions, dated 06/01/25. Three (3) out of five (5) residents and three (3) out of five (5) staff interviewed have agreed the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6) is being cited. Please see attached LIC9099-D. Licensee does not agree with the fact that they are being cited. Licensee has also terminated the staff responsible prior to LPA's investigation.

One (1) deficiency was cited during today's visit, please see LIC9099-D.

An exit interview was held with staff four, Mendy Ginsberg (S4), and a copy of the facilities' deficiency, appeal rights and this report have been provided to Mendy Ginsberg.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250609142659
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2025
Section Cited
CCR
87625(b)(2)
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87625 Managed Incontinence
(b) In addition to Section 87611,..., the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night.
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LPA and Licensee have agreed to ensure associated staff have conducted an in-staff training to make sure staff are informed on their work to be completed, specifically their duty to care for incontinent residents. Licensee will ensure that staff who have failed to meet this requirement have the potential to
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This has not been met as evidenced by: LPA's record reviews and interviews conducted with staff and residents where the licensee has failed to provide incontinent care to a resident(s), which poses/posed a potential health risk to residents in care
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lose their position(s). Licensee does not agree with the fact that they are being cited. Licensee had terminated the staff responsible prior to LPA's investigation. Licensee will forward the in-staff meeting to LPA Leon at MARIO.LEON@DSS.CA.GOV
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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: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3