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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320433
Report Date: 03/12/2026
Date Signed: 03/12/2026 04:24:30 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
03/06/2026 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260306112113
FACILITY NAME:OCEANVIEW LIVING OF SAN PEDROFACILITY NUMBER:
198320433
ADMINISTRATOR:SABINA NAYBERGFACILITY TYPE:
740
ADDRESS:2100 SOUTH WESTERN AVENUETELEPHONE:
(310) 548-0625
CITY:SAN PEDROSTATE: CAZIP CODE:
90732
CAPACITY:86CENSUS: 71DATE:
03/12/2026
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Maria Galvan - AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility staff are not ensuring that residents’ showering needs are being met.
Facility staff are not treating resident with dignity and respect.
INVESTIGATION FINDINGS:
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On 03/12/26, at 9:00am, Licensing Program Analyst (LPA) Mario Leon conducted an initial complaint visit at this facility. LPA was met by Maria Galvan - Executive Director (S5) and the purpose of the visit was explained and LPA took a tour of the facility.
The investigation consisted of the following: LPA requested staff roster, resident roster, shower logs and additional paperwork regarding Medication Administration Record (MAR). Resident one through resident two (R1-R2) face sheet, pre-appraisal and appraisal, medical assessment(s) (dated: various) and Medication Administration Record (MAR). LPA interviewed five (5) staff (S1-S5) and seven (7) residents (R1-R7).

Report continues, please see LIC9099-C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
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 2
Control Number 11-AS-20260306112113
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: 03/12/2026
NARRATIVE
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The investigation revealed the following: Regarding the allegation “Facility staff are not ensuring that residents’ showering needs are being met." it is being alleged that a resident has not been showered for ten (10) days. Record reviews have revealed the following: Shower logs of residents in care confirm that residents are being showered which indicates residents are being kept clean. Interviews have revealed that four (4) out of five (5) staff (S2-S5) and four (4) out of seven (7) residents (R2-R3 & R5, R7) have denied the allegation has taken place, while one (1) resident was unsure (R4). 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.
Regarding the allegation "Facility staff are not treating resident with dignity and respect." it is being alleged that staff have "play(ed) game(s)" with a resident's medication management. Record reviews have revealed the following: a resident in question MAR have been reviewed and no discrepancies have been found. Interviews have revealed that four (4) out of five (5) staff (S2-S5) and five (5) out of seven (7) residents (R2-R5 & R7) have disagreed with the allegation. 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.
There have been zero (0) deficiencies cited during today's visit.
An exit interview was held with Maria Galvan - Executive Director (S5) and a copy of this report has been provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2