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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602397
Report Date: 03/09/2026
Date Signed: 03/09/2026 11:48:15 AM

Unfounded


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
03/02/2026 and conducted by Evaluator Zina Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260302152718
FACILITY NAME:OCEAN BREEZE CARE HOME, LLCFACILITY NUMBER:
198602397
ADMINISTRATOR:MACELLVEN, GREGGFACILITY TYPE:
740
ADDRESS:911 S WEYMOUTH AVETELEPHONE:
(310) 721-9667
CITY:SAN PEDROSTATE: CAZIP CODE:
90732
CAPACITY:6CENSUS: 6DATE:
03/09/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Tristan Nielsen (House Manager)TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Resident sustained multiple bruises due to staff neglect.
INVESTIGATION FINDINGS:
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On 03/09/2026 at 10:30am, Licensing Program Analyst (LPA) Zina Brown conducted an initial visit at this facility to conduct complaint investigation and deliver the findings for the allegations above. During today’s visit, LPA met with Gregg MacEllven (Administrator) & Tristan Nielsen (House Manager) and explained the purpose of the visit.

The investigation consisted of the following:
On 03/09/2026 between the hours of 10:30am - 11:00am, LPA interviewed Administrator (A1). Also, LPA requested and obtained copies of the resident roster (dated 01/21/2026).

The investigation revealed the following:
Allegation: Resident sustained multiple bruises due to staff neglect.
It was alleged that staff at where the resident resides is starting to get "rough" with the resident. Resident also states "this is where all my bruises are coming from". Resident noted to have generalized bruising to arms, back and hip,”
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
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-20260302152718
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: OCEAN BREEZE CARE HOME, LLC
FACILITY NUMBER: 198602397
VISIT DATE: 03/09/2026
NARRATIVE
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On 03/09/2026 between the hours of 10:45am - 11:00am, LPA interviewed A1 regarding the allegation. A1 did not confirm nor deny the allegation and stated R1 does not reside at Ocean Breeze Care Home LLC (Facility #198602397), located at 911 S Weymouth Ave, San Pedro,CA 90732. A1 mentioned R1 actually resides at Ocean Breeze Care II (Facility# 198320059) located at 26509 Rolling Vista Drive, Lomita, CA 90717. A1 indicated R1's family member admitted R1 to the hospital on 02/27/2026 for a urinary tract infection (UTI).

On 03/09/2026 between hours of 11:20am - 11:25am, LPA conducted a records review and observed the following: LIC 9020A Register of Facility Residents - Residential Care Facilities for the Elderly (dated 01/21/2026) list six (6) residents reside at this facility. Of the six (6) residents, R1 is not listed as a resident at Ocean Breeze Care Home (Facility #198602397), LLC located at 911 S Weymouth Ave, San Pedro, CA 90732.

Unfounded: This agency has investigated the complaint alleging (for the allegation above).  We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint. 

Exit interview conducted with Tristan Nielsen (House Manager) and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2