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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 08/20/2025
Date Signed: 08/20/2025 04:30:25 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
08/12/2025 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 11-AS-20250812125512
FACILITY NAME:BRITTANY HOUSEFACILITY NUMBER:
198320417
ADMINISTRATOR:JOEL NIBLETTFACILITY TYPE:
740
ADDRESS:5401 E CENTRALIA STTELEPHONE:
(562) 421-4717
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:170CENSUS: 107DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:JOEL NIBLETTTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff mishandle the residents medications.
INVESTIGATION FINDINGS:
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On 08/20/2025, at 09:30 am, Licensing Program Analyst (LPA) Antonine Richard conducted an initial complaint visit and delivered findings. LPA met with Joel Niblett Administrator, and explained the purpose of the visit.

The investigation consisted of the following: On 08/20/2025, LPA Richard requested the residents and staff roster, Medication Mar (Dated July 20, 2025), License vocational Nurse (LVN), and Med Teck (MT) scheduled (Dated July 20, 2025),Timecard by labor Level (Dated 07/20/2025). On 08/20/2025, LPA interviewed seven residents #1-7 (R1-R7), four staff #1-4 (S1-S4), and the Administrator #1 (A1).

Continued Report LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
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 2
Control Number 11-AS-20250812125512
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: 08/20/2025
NARRATIVE
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Allegation: Staff mishandled the residents' medications.

The complaint alleges that medication errors occurred and delays happened on 07/20/2025. On 08/20/2025, from 10:30 am to 1:45 pm, LPA Richard interviewed Administrator #1 (A1), who denied the allegation and stated that no medication errors or delays took place that day. The facility had a staff member call off, but the facility found a staff member to cover the shift. During the same time frame, LPA Richard also interviewed seven residents #1-7 (R1-R7), all of whom denied any medication delays or missed doses since they have been living here. Additionally, LPA interviewed four staff members #1-4 (S1-S4), all of whom denied the allegation. On 08/20/2025, LPA Richard reviewed medication records showing that all residents received their medications, and there were no discrepancies. LPA also reviewed the facility's Chat Note confirmed there were no medication errors or missing medications administered to any residents.

Based on the information collected from the facility inspection, interviews, and records reviewed, 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 cited.

An exit interview conducted. A copy of this report was provided to the Administrator Joe Niblett

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

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2