OCEAN BREEZE CARE HOME III

1600 W 21ST, San Pedro CA 90732

Facility 198320360 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Aug 7, 2026Licensed

Additional info
Licensee
OCEAN BREEZE CARE HOME, LLC
Administrator
MACELLVEN, GREGG
Contact
MACELLVEN, GREGG
License first date
Jun 13, 2023
License effective date
Jun 13, 2023
District office
EL SEGUNDO ASC · (424) 544-1075
Regional office
11
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 2 Type B deficiencies for this facility.

Most recent inspection
Jul 2, 2026
Most recent deficiency
Aug 7, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 7 reports for this facility: 3 inspections, 2 complaint investigations, and 2 licensing or administrative records.

Those records contain 0 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
3

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
2

More than the typical 1

2 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
2

Most this size have none

2 in the last 12 months

Substantiated complaints
1

Most this size have none

1 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint

Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited

Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement was not met as evidenced by: Based on interviews conducted and records reviewed, S1 acknowledged that a harness was placed on R1 since being admitted to the facility. The licensee did not have a physician’s order for Postural Supports. This poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee agreed to conduct an in service training for all staff on section cited and residents personal rights. The licensee shall submit to the department a copy of the sign in sheet, and training materials, by the POC due date via email to troy.watson@dss.ca.gov

Deadline recorded: Aug 14, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 14, 2026
Correction not verified in available records
View official report
Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)(B)
Regulation authority
CCR

What the official deficiency says

87211Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require…(1) A written report shall be submitted to…the person responsible for the resident within seven days of the occurrence of any of the events specified…below…(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement is not met as evidenced by: Based on interviews, the licensee failed to submit a complete written report to (R1’s) responsible person (W1) regarding (R1’s) fall and hip fracture. This violation poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee/Administrator agrees to: 1. Submit a complete written incident report containing all required elements for R1’s injury. 2. Conduct staff training on proper incident reporting procedures, including timelines and required documentation. 3. Provide a written statement to the Department confirming completion of corrective actions by the due date. Submit POC to: Troy.Watson@dss.ca.gov

Deadline recorded: Aug 14, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 14, 2026
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology