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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603220
Report Date: 05/06/2026
Date Signed: 05/06/2026 05:21:38 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
04/30/2026 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260430092048
FACILITY NAME:CITY VIEW LA, LLCFACILITY NUMBER:
198603220
ADMINISTRATOR:GINSBURG, MENDYFACILITY TYPE:
740
ADDRESS:515 N LA BREA AVETELEPHONE:
(323) 938-2131
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:166CENSUS: 120DATE:
05/06/2026
UNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Mendy GinsburgTIME COMPLETED:
05:35 PM
ALLEGATION(S):
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Staff hit resident.
Staff handled resident in a rough manner.
INVESTIGATION FINDINGS:
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On 05/06/26, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit to gather information regarding the above allegations. LPA met Wellness Director Marcia McKay and the purpose of the visit was explained.

Investigation consisted of the following: On 05/06/26, the Department obtained a copy of the Resident Roster (05/04/26), Personnel Report (dated 05/03/26), April 2026 Work Schedule and Resident #1’s Physician’s Report and Plan of Care, and Unusual Incident Report. LPA conducted twelve staff interviews (S1 – S12) and eight resident (R1 – R8) interviews.

Continue to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
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 3
Control Number 11-AS-20260430092048
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: 05/06/2026
NARRATIVE
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Allegation: Staff hit resident.
It is alleged Staff #1 (S1) hit Resident #1 (R1) while providing incontinence care. Record review of Incident Report (04/27/26) revealed Resident #1 (R1) reported that while Staff #2 (S2) and Staff #1 (S1) were repositioning her, S1 aggressively pushed R1 onto left side, resulting in pain to the left fifth finger and upper left arm. Interview with R1 indicated S1 hit R1 on the elbow and yanked R1’s finger around. R1 also indicated S1 did not use a sheet to reposition R1 but poked R1 with S1’s fingers. Seven out of seven resident interviews (R2 – R8) indicated staff have not hit them. One private caregiver (W1) indicated staff has not hit resident in care. Interview with S1 indicated R1 accused S1 of hitting R1 as S1 was repositioning R1. S1 indicated S1 did not hit R1. S2 indicated S1 did not hit R1 on the elbow nor yank R1’s finger around. S2 indicated that prior to repositioning, they placed R1’s arm on top of R1. At that moment, R1 accused them of hitting R1. S3 – S4 did not witness the incident but saw two scratches on S1’s arm. Seven out of seven staff interviews (S5, S7 – S12) indicated they have not witnessed staff hit residents.

Regarding the allegation, “Staff hit resident,” based on interviews and record reviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Staff handled resident in a rough manner.
Record review of Incident Report (04/27/26) revealed Resident #1 (R1) reported that while Staff #2 (S2) and Staff #1 (S1) were repositioning R1, S1 aggressively pushed R1 onto left side, resulting in pain to the left fifth finger and upper left arm. The Executive Director conducted an internal investigation with the involved staff and found that their actions did not appear to be overly aggressive. Review of Medical Assessment (12/05/25) revealed R1 has chronic pain syndrome, has motor impairment/paralysis (left sided hemiplesia) and needs assistance with bathing, grooming, and toileting. Review of Service Plan (11/24/25) revealed R1 needs full two-person assistance with toileting in the morning, afternoon, and evening. Notes reveal R1 resists care at times. Please report this as needed. Interview with R1 indicated R1 and S1 had a tug-a-war with the blanket and finally S1 snatched the blanket off R1. R1 also indicated S1 did not use a sheet to reposition R1 but poked R1 with S1’s fingers. R1 indicated S1 and Staff #2 (S2) pulled R1 like a “wish-bone”. Seven out of seven resident interviews (R2 – R8) indicated staff are not rough with them.
Continue to LIC9099-C.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260430092048
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: 05/06/2026
NARRATIVE
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One private caregiver (W1) indicated staff are not rough with resident in care. Interview with S1 indicated S1 did not reposition R1 roughly with the bedsheet and did not snatch the blanket from R1. S2 indicated S1 was not rough with R1. S4 indicated R1 is sensitive to touch. Eight out of eight staff interviews (S5 – S12) indicated they have not witnessed staff handle residents in a rough manner.

Regarding the allegation, “Staff handled resident in a rough manner,” based on interviews and record reviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were issued.

An exit interview was conducted and a copy of this report was provided to the Executive Director Mendy Ginsburg.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3