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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603220
Report Date: 03/29/2023
Date Signed: 03/29/2023 02:55:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2023 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20230328133854
FACILITY NAME:CITY VIEW LA, LLCFACILITY NUMBER:
198603220
ADMINISTRATOR:YONATAN ISAACSFACILITY TYPE:
740
ADDRESS:515 N LA BREA AVETELEPHONE:
(323) 938-2131
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:166CENSUS: 60DATE:
03/29/2023
UNANNOUNCEDTIME BEGAN:
09:42 AM
MET WITH:Mendy Ginsburg, Executive DirectorTIME COMPLETED:
03:13 PM
ALLEGATION(S):
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Facility failed to provide resident records upon request.
INVESTIGATION FINDINGS:
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On 3/29/23 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced 10-day complaint investigation and met with Executive Director, Mindy Ginsburg (S1), regarding the allegation that facility failed to provide resident records upon request.

The investiagtion consisted of the following: LPA conducted records review, conducted interviews and toured the facility. LPA observed the resident records closet, which is located on the North side of the building, nearby the laundry room, on the second (2nd) floor. All proper documents were present.

The investiagtion revealed the following: Interviews with all three (3) staff have denied that C1's documents have been withheld and all three (3) residents agree that they are able to receive their resident records, if requested. Therefore, LPA has found that the allegation has been unsubstantiated, as during the records review the record request had been fulfilled as of 3/21/23.
Unsubstantiated
Estimated Days of Completion: 20
SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Mario LeonTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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-20230328133854
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: CITY VIEW LA, LLC
FACILITY NUMBER: 198603220
VISIT DATE: 03/29/2023
NARRATIVE
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An exit interview was conducted and a copy of this report has been provided to Mendy Ginsburg, Executive Director.
SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Mario LeonTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2