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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 04/30/2025
Date Signed: 04/30/2025 10:49:13 AM

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
12/16/2024 and conducted by Evaluator Troy Watson
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20241216112039
FACILITY NAME:BRITTANY HOUSEFACILITY NUMBER:
198320417
ADMINISTRATOR:WINKELBAUER, SHANEFACILITY TYPE:
740
ADDRESS:5401 E CENTRALIA STTELEPHONE:
(562) 421-4717
CITY:LONG BEACHSTATE: ZIP CODE:
90808
CAPACITY:170CENSUS: 73DATE:
04/30/2025
UNANNOUNCEDTIME BEGAN:
09:44 AM
MET WITH:MARCUS FULANAI - RESIDENT CARE COORDINATORTIME COMPLETED:
10:48 AM
ALLEGATION(S):
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staff do not meet resident's dietary needs.
staff do not meet resident's dental hygiene needs.
staff do not provide outdoor activities to residents.
staff do not provide comfortable accommodations to residents.
staff do not provide refunds to responsible parties.
staff do not keep the facility in a sanitary condition.
INVESTIGATION FINDINGS:
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On 04/30/2025 the department conducted a subsequent complaint visit to the facility listed above. LPA met with the administrator Marcus Fulanai and the purpose of today’s visit was explained. LPA was given access to the facility.

The investigation consisted of the following:

On 12/20/2024 Licensing Program Analyst (LPA) Watson requested, reviewed, and obtained copies of the Staff Roster, Client Roster, and Face Sheets. The department interviewed Staff#1-Staff#4 (S1-S4) and Residents #1-Residients #5 (R1-R5).

CONTINUED ON LIC-9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
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 4
Control Number 11-AS-20241216112039
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: 04/30/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff do not meet resident's dietary needs.

It is being alleged that staff do not meet residents’ dietary needs. On 12/20/2024 the department conducted interviews with Residents #1- Residents #5 (R1-R5). The department asked the residents if staff did not meet their dietary needs. Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 the department interviewed Staff #1- Staff #4 (S1-S4). The department asked the staff if they did not meet residents’ dietary needs? Of those interviewed, 4 out of 4 staff denied the above allegation.

Based on the information gathered, interviews conducted, and an analysis of records reviewed, 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, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: staff do not meet resident's dental hygiene needs.

It is being alleged that staff do not meet residents’ dental hygiene needs. On 12/20/2024 the department conducted interviews with Residents #1- Residents #5 (R1-R5). The department asked the residents if staff did not meet their dental hygiene needs. Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 the department interviewed Staff #1- Staff #4 (S1-S4). The department asked the staff if they did not meet residents’ hygiene needs? Of those interviewed, 4 out of 4 staff denied the above allegation.

Based on the information gathered, interviews conducted, and an analysis of records reviewed, 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, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20241216112039
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: 04/30/2025
NARRATIVE
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Allegation: staff do not provide outdoor activities to residents.

It is being alleged that staff do not provide outdoor activities to residents. On 12/20/2024 the department conducted interviews with Residents #1- Residents #5 (R1-R5). The department asked the residents if staff did not provide outdoor activities to residents. Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 the department interviewed Staff #1- Staff #4 (S1-S4). The department asked the staff if they did not provide outdoor activities to residents? Of those interviewed, 4 out of 4 staff denied the above allegation.

Based on the information gathered, interviews conducted, and an analysis of records reviewed, 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, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: staff do not provide comfortable accommodations to residents.

It is being alleged that staff do not provide comfortable accommodations to residents. On 12/20/2024 the department conducted interviews with Residents #1- Residents #5 (R1-R5). The department asked the residents if staff do not provide comfortable accommodations to residents? Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 the department interviewed Staff #1- Staff #4 (S1-S4). The department asked the staff if they do not provide comfortable accommodations to residents? Of those interviewed, 4 out of m4 staff denied the above allegation.

Based on the information gathered, interviews conducted, and an analysis of records reviewed, 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, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 11-AS-20241216112039
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: 04/30/2025
NARRATIVE
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Allegation: staff do not provide refunds to responsible parties.

It is being alleged that staff do not provide refunds to responsible parties. On 12/20/2024 the department conducted interviews with Residents #1- Residents #5 (R1-R5). The department asked the residents if staff do not provide refunds to responsible parties? Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 the department interviewed Staff #1- Staff #4 (S1-S4). The department asked the staff if they do not provide refunds to responsible parties? Of those interviewed, 4 out of m4 staff denied the above allegation.

Based on the information gathered, interviews conducted, and an analysis of records reviewed, 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, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: staff do not keep the facility in a sanitary condition.

It is being alleged that staff do not keep the facility in a sanitary condition. On 12/20/2024 the department conducted interviews with Residents #1- Residents #5 (R1-R5). The department asked the residents if staff do not keep the facility in a sanitary condition? Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 the department interviewed Staff #1- Staff #4 (S1-S4). The department asked the staff if they do not keep the facility in a sanitary condition? Of those interviewed, 4 out of 4 staff denied the above allegation.

Based on the information gathered, interviews conducted, and an analysis of records reviewed, 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, did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with the Resident Care Coordinator Marcus Fulanai and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4