198603220-6-30-2026-11-AS-PMAA-DW2P9B-20260716110651

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603220
Report Date: 06/30/2026
Date Signed: 06/30/2026 04:31:47 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
02/22/2026 and conducted by Evaluator Elvira Gonzalez

COMPLAINT CONTROL NUMBER: 11-AS-20260222155138

FACILITY NAME:	CITY VIEW LA, LLC		FACILITY NUMBER:	198603220
ADMINISTRATOR:	GINSBURG, MENDY		FACILITY TYPE:	740
ADDRESS:	515 N LA BREA AVE		TELEPHONE:	(323) 938-2131
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90036
CAPACITY:	166	CENSUS: 115	DATE:	06/30/2026
		UNANNOUNCED	TIME BEGAN:	10:07 AM
MET WITH:	Avi Silver		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff did not safeguard resident's personal belongings.
Staff did not ensure resident received adequate food service.
Staff did not ensure resident was appropriately clothed.
Licensee did not ensure a functioning signal system was accessible to resident.

INVESTIGATION FINDINGS:

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On 06/30/26, the department conducted an unannounced complaint visit to investigate the allegations listed above. The department met with Business Office Manager, Avi Silver, and the purpose of the visit was explained. The department was granted access to the facility. Executive Director, Mendy Ginsburg, joined the department for the visit shortly after.

The investigation consisted of the following: On 02/25/26, the department received the following documents: staff roster, resident roster, menu for February 2026, alternative meal menu, Physician’s report for resident #1 (R1), Service Plan for R1, Safeguard for Personal belongings for R1, Admission Agreement for R1, Laundry/Cleaning schedule, and an email between S1 and R1’s family member. The department conducted interviews with staff #1-#2 (S1-S2), 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: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

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 7

Control Number 11-AS-20260222155138

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: 06/30/2026

NARRATIVE

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On 06/30/26, the department received the facility’s menu for the months of May-June 2026. The department conducted interviews with staff #3-#6 (S3-S6), residents #2-#9 (R2-R9), and attempted to interview R1. Additionally, the department conducted a tour of the facility.

The investigation revealed the following:

Allegation: Staff did not safeguard resident's personal belongings. It has been alleged that a resident’s wallet, letterman’s jacket, and glasses were missing. On 02/25/26, and 06/30/26, the department conducted interviews with S1-S6. Of those interviewed, 6 out of 6 staff denied the allegation. An interview with S1 revealed that R1 had reported some of their personal belongings missing, but they were found days after in the residents room after staff assisted in locating the items.

On 06/30/26, the department conducted interviews with R2-R9, and attempted to interview R1, but was unable to as they are no longer in the facility. Of those interviewed, 8 out of 8 residents could not corroborate with the allegation.

Based on observation, interviews conducted, and a review of records, 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 the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation: Staff did not ensure resident received adequate food service. It was alleged that the resident requested an alternative meal for dinner; however, staff did not provide the requested meal. As a result, the resident reportedly did not receive dinner, and the resident's family arranged for food to be delivered to the facility at approximately 10:00 p.m. because the resident had not eaten. On 02/25/26, and 06/30/26, 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 receive three meals a day, snacks in between, and that they have alternative meals as well. 6 out of 6 staff said residents receive their breakfast between 7:00 am - 9:00 am, lunch at 12:00 pm, and dinner at 5:00 pm, 7 days a week.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 7

Control Number 11-AS-20260222155138

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: 06/30/2026

NARRATIVE

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On 06/30/26, the department conducted interviews with R2-R9, and attempted to interview R1, but was unable to as they are no longer in the facility. Of those interviewed, 8 out of 8 residents could not corroborate the allegation. 8 out of 8 residents said they receive three meals a day, snacks in between, and that they have alternative meals as well. 8 out of 8 residents said they receive their breakfast between 7:00 am - 9:00 am, lunch at 12:00 pm, and dinner at 5:00 pm, 7 days a week.

On 06/30/26, during the records review, the department observed copies of the facility’s menu. The facility serves three meals per day: breakfast, lunch, and dinner, and snacks between meals, with an option for alternative meals. Based on the menu reviewed, the facility’s meals appeared consistent with these guidelines and Title 22 food service requirements.

Based on observation, interviews conducted, and a review of records, 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 the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation: Staff did not ensure resident was appropriately clothed. It was alleged that a resident was mistakenly dressed in their roommate's clothing. It is also being alleged that the resident reportedly brought the error to the caregiver's attention and requested to be changed into their own clothing; however, the caregiver allegedly refused to assist with changing the resident into the correct clothing. On 02/25/26, and 06/30/26, the department conducted interviews with S1-S6. Of those interviewed, 6 out of 6 staff could not corroborate the allegation. On 06/30/26, the department conducted interviews with R2-R9, and attempted to interview R1, but was unable to as they are no longer in the facility. Of those interviewed, 8 out of 8 residents could not corroborate the allegation.

Based on observation, interviews conducted, and a review of records, 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 the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 7

Control Number 11-AS-20260222155138

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: 06/30/2026

NARRATIVE

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Allegation: Licensee did not ensure a functioning signal system was accessible to resident. It is being alleged that the call light in a resident’s bathroom was not working. On 02/25/26, and 06/30/26, the department conducted interviews with S1-S5. Of those interviewed, 6 out of 6 staff could not corroborate the allegation. An interview with S5 revealed that the facility routinely tests residents’ call lights to ensure they are functioning properly. An interview with S1 revealed that staff respond to residents’ call lights promptly. S1 further stated that the facility does not maintain logs documents call light calls and/or their response times.

On 06/30/26, the department conducted interviews with R2-R9, and attempted to interview R1, but was unable to as they are no longer in the facility. Of those interviewed, 8 out of 8 residents could not corroborate the allegation. Interviews with 8 out of 8 residents revealed that they have not experienced any issues with their call lights.

Based on observation, interviews conducted, and a review of records, 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 the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 7

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
02/22/2026 and conducted by Evaluator Elvira Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260222155138

FACILITY NAME:	CITY VIEW LA, LLC		FACILITY NUMBER:	198603220
ADMINISTRATOR:	GINSBURG, MENDY		FACILITY TYPE:	740
ADDRESS:	515 N LA BREA AVE		TELEPHONE:	(323) 938-2131
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90036
CAPACITY:	166	CENSUS: 115	DATE:	06/30/2026
		UNANNOUNCED	TIME BEGAN:	10:07 AM
MET WITH:	Avi Silver		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff did not assist resident with toileting needs in a timely manner.

INVESTIGATION FINDINGS:

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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 5 of 7

Control Number 11-AS-20260222155138

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: 06/30/2026

NARRATIVE

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On 06/30/26, the department received the facility’s menu for the months of May-June 2026. The department conducted interviews with staff #3-#6 (S3-S6), residents #2-#9 (R2-R9), and attempted to interview R1. Additionally, the department conducted a tour of the facility.

The investigation revealed the following:

Allegation: Staff did not assist resident with toileting needs in a timely manner. It was alleged that a resident requested assistance after using the toilet but was left waiting for approximately one hour without help. The resident called the fire department for assistance getting off the toilet because staff did not respond. On 02/25/26, and 06/30/26, the department conducted interviews with S1-S5. Of those interviewed, 3 out of 6 staff corroborated the allegation, and 3 out of 6 staff could not corroborate the allegation. 6 out of 6 staff said residents are checked on and changed (if needed) every 2 hours and as needed.

An interview with S1 revealed that R1 had been seated on the toilet in the bathroom by a caregiver during a routine check. S1 stated that they did not believe that R1 activated the call light to request assistance and instead contacted 911. S1 further stated that emergency personnel responded to the facility following the 911 call. An interview with S2 revealed that R1 had been seated on the toilet in the bathroom for an unknown period of time. S2 stated that R1 attempted to call staff for assistance; however, staff did not respond. S2 further stated that as a result, R1 called 911 to request assistance.

On 06/30/26, the department conducted interviews with R2-R9, and attempted to interview R1, but was unable to as they are no longer in the facility. Of those interviewed, 8 out of 8 residents could not corroborate the allegation.

Based on interviews conducted which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 6 of 7

Control Number 11-AS-20260222155138

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: 06/30/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/07/2026 Section Cited CCR 87468.1(a)(2)	1 2 3 4 5 6 7	Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This has not been met as evidenced by:	1 2 3 4 5 6 7	The facility will conduct an in service staff training in regards to answering call lights.
	8 9 10 11 12 13 14	Based on interviews conducted, staff failed to answer the call light in a timely manner. This violation poses a potential health, safety, and personal rights risk to residents in care.	8 9 10 11 12 13 14	The facility will submit the proof of correction to the CCLD/El Segundo ASC Office via fax at 424-544-1016 Attn: Elvira Gonzalez or via email at elvira.gonzalez@dss.ca.gov by the POC due date.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

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