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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 12/16/2024
Date Signed: 12/16/2024 04:37:08 PM

Substantiated


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
10/22/2024 and conducted by Evaluator Felisa Shirley
COMPLAINT CONTROL NUMBER: 11-AS-20241022210327
FACILITY NAME:BRITTANY HOUSEFACILITY NUMBER:
198320417
ADMINISTRATOR:WINKELBAUER, SHANEFACILITY TYPE:
740
ADDRESS:5401 E CENTRALIA STTELEPHONE:
(562) 421-4717
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:170CENSUS: DATE:
12/16/2024
UNANNOUNCEDTIME BEGAN:
03:59 PM
MET WITH:Receptionist, Stephanie RubioTIME COMPLETED:
04:36 PM
ALLEGATION(S):
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Staff did not post notice for residents council meetings
INVESTIGATION FINDINGS:
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*This finding supersedes the findings written on 10/31/24.

On 12/16/24, Licensing Program Analyst, (LPA) Felisa Shirley conducted a subsequent unannounced visit to this facility. LPA was met by Administrator, Mandy Taylor and explained the purpose of the visit is to deliver amended findings for the allegations mentioned above. LPA was granted access to the facility.

The investigation consisted of the following:
On 10/31/24, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA Shirley requested and received copies of the following: Staff Roster, Resident Roster, Activity schedules, and reviewed client’s facility files and admission agreements.

The investigation revealed the following:
Con'd on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
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-20241022210327
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: BRITTANY HOUSE
FACILITY NUMBER: 198320417
VISIT DATE: 12/16/2024
NARRATIVE
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Allegation: Staff did not post notice for resident council meetings

On 10/31/24, LPA Shirley reviewed facilities activity board and observed that there is no Resident Council information, meeting dates nor locations. LPA Shirley interviewed facility Administrator, Mandy Taylor and learned that this facility formerly only focused on Memory Care and just recently began offering services in July of 2024 to residents for Assisted Living. LPA Shirley spoke with the Activities Director who is new to the position who stated that she is in the process of curating a calendar of events, which includes a Resident Council. The Activities Director stated that she will meet with residents and inform them that they have a right to form a committee. Resident Councils meetings are not posted as Brittany House does not have a Resident Council. There should’ve already been a Resident Council in place.

LPA Shirley interviewed staff-1 thru staff-7 (S-1 thru S-7). LPA asked, does staff post notices for Resident Council meetings? Of those interviewed, 6 out of 7 answered no. One employee stated that they did not know. LPA interviewed Client-1 thru Client-6 (C-1 thru C-6). LPA asked, does staff post notices for Resident Council meetings?” Of those interviewed, 6 out of 6 did not know anything about the Resident Counsel.

Based on records reviewed, 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 LIC9099-D.


An exit interview was conducted, and a copy of this report was provided to Receptionist, Stephanie Rubio.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20241022210327
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: BRITTANY HOUSE
FACILITY NUMBER: 198320417
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/30/2024
Section Cited
CCR
87221
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87221 Resident Councils

The facility shall permit the formation of a resident council by interested residents, provide space and post notice for meetings, and provide assistance in attending meetings for those residents who request it. In order to permit a free exchange of ideas, at least part of each meeting shall be allowed to be conducted without the presence of any facility personnel. Residents shall be encouraged, but shall not be compelled to attend. The purpose of such an organization shall be to work with the administration in improving the quality of life for all residents by enriching the activity program and to discuss the services offered by the facility and make recommendations regarding identified problems.

This requirement was not met as evidenced by:
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Please provide provide proof that there is a Resident Council in place by Plan of Correction date of 12/30/24. Please send to LPA Felisa Shirley at felisa.shirley@dss.ca.gov or fax to 424-544-1016 by POC date.
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Based on interviews and record reviews, facility staff did not assist residents in the formation of a resident council. This poses a possible personal rights violation to all residents in care.

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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: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3