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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 07/02/2025
Date Signed: 07/02/2025 04:56:58 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
06/24/2025 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 11-AS-20250624095034
FACILITY NAME:BRITTANY HOUSEFACILITY NUMBER:
198320417
ADMINISTRATOR:ERIN REHBEINFACILITY TYPE:
740
ADDRESS:5401 E CENTRALIA STTELEPHONE:
(562) 421-4717
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:170CENSUS: 94DATE:
07/02/2025
UNANNOUNCEDTIME BEGAN:
09:56 AM
MET WITH:Joel NiblettTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff did not assist resident with care needs in a timely manner.
INVESTIGATION FINDINGS:
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On 07/02/25, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced complaint visit. LPA Richard met with Joel Niblett, the Executive Director (ED), and explained the purpose of this visit.

The investigation consisted of the following: the Licensing Program Analyst (LPA) interviewed, reviewed, and obtained records, along with a tour of the facility. Interviews were conducted with six staff members (S1-S6), five residents (R1-R5), and the Admission/Social Service Director (ASSD). LPA Richard reviewed multiple documents, including the Personnel Report LIC 500, the Resident Roster, the Face Sheet and Identification/Emergency Information for Resident #1 (R1), the Service Plan, the Resident Assessment, Preplacement Appraisal Information, the Admissions Agreement, the Medication Administration Record (MAR), and other relevant records related to this complaint.

Report Continued LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
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 3
Control Number 11-AS-20250624095034
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: 07/02/2025
NARRATIVE
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Allegation: Staff did not assist resident with care needs in a timely manner.

The complaint alleges that a resident has been neglected, specifically claiming that they have been unable to use the bathroom and have had to sit in their urine. On July 2, 2025, between 10:00 AM and 1:00 PM, the Licensing Program Analyst (LPA) interviewed six staff members (S1-S6), all of whom denied the allegations and stated that they provide care for all residents. Staff members S5 and S6, who primarily assist resident #1 (R1), also denied the claims, asserting that R1 has not been neglected and has not been left sitting in urine or unable to use the bathroom.

LPA additionally interviewed the Assistant Director of Staff Development (ASSD), who denied the allegations and explained that all three shifts routinely perform incontinent services every two hours or as needed. R1 is scheduled for diaper changes every two hours or as needed.

Later, on July 2, 2025, between 1:30 PM and 2:30 PM, LPA interviewed five residents (R1-R5). Four out of five residents denied the allegations, stating that staff regularly change their diapers and assist with their activities of daily living (ADLs). They also reported that when they pull the alarm cord, staff usually respond within two to four minutes.

Report continued LIC9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250624095034
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: 07/02/2025
NARRATIVE
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A review of the Caregiver Daily Flow Sheet and staff notes for residents' ADLs, dated July 01 to July 02, 2025, confirmed that R1 receives daily assistance unless R1 refuses. LPA reviewed the Nursing-issued 24-hour report dated June 22 to June 29, 2025, which showed that R1 refused staff assistance very often. Furthermore, on July 2, 2025, the LPA pulled the alarm cord in R1's room, and staff arrived to assist within two minutes. The LPA also observed that the residents looked well-groomed and clean, and they did not appear to be neglected.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, LPA found no evidence to support the above allegations. Although the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted. A copy of the report was provided to Executive Director Joel Niblett.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3