198320417-8-20-2025-11-AS-JHAD-DL6V6F-20250903160927

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 08/20/2025
Date Signed: 08/20/2025 03:35:58 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
08/14/2025 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20250814140557

FACILITY NAME:	BRITTANY HOUSE		FACILITY NUMBER:	198320417
ADMINISTRATOR:	JOEL NIBLETT		FACILITY TYPE:	740
ADDRESS:	5401 E CENTRALIA ST		TELEPHONE:	(562) 421-4717
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90808
CAPACITY:	170	CENSUS: 107	DATE:	08/20/2025
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Joel Niblett- Administrator		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

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Facility unlawfully evicted resident

INVESTIGATION FINDINGS:

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On 8/20/2025, at 10:50 AM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an investigation and deliver findings for the alleged allegation. LPA identified herself and met Joel Niblett-Administrator who was informed of the purpose of the visit.

The investigation consisted of the following:

On 8/20/2025 at 10:50 AM, LPA Allen obtained and reviewed files for Resident 1 (R1), which included face sheet, medical assement date 7/9/2025, physicians orders for life sustaining treatment, pre-placement appraisal unsigned but dated 6/17/2025, concent for treatment dated 7/9/2025 ,Admission agreement from Mission Community Hospital dated 4/16/2025 and discharge report dated 6/14/2025,Resident sign-out sheet dated 7/19/2025, A written statement of resident transfer to new facility Simla Villas dated 8/20/2025.
LPA also conducted interviews with staff members 1-2 (S1-S2),Witness1-2 (W1-W2) and Resident 1(R1).
Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
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)

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Control Number 11-AS-20250814140557

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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Investigation revealed the following:

Allegation: Facility unlawfully evicted resident

On August 20, 2025, at 11:00 AM, LPA Allen conducted interviews with Staff 1-2 (S1–S2). 2 out of 2 staff members stated that Resident 1 (R1) was not evicted from the facility. LPA did not observe any documentation indicating that R1 was evicted. According to S1 and S2, R1 had been requesting relocation to another facility since June 17, 2025, due to concerns that the current staff could not meet their level of care needs. Upon R1’s arrival on June 17, 2025, staff began the process of identifying a new facility that could accommodate R1’s required services.

R1 was scheduled to transfer to the new facility, Simla Villas, on July 19, 2025. However, R1 declined the transfer and informed S1 and S2 that they would be leaving the facility with a friend. S2 advised R1 that leaving the facility without transferring to the new location would be considered leaving Against Medical Advice (AMA), and that re-admittance would not be possible under those circumstances.

LPA also conducted an interview with Witness 1 (W1), who stated that Resident 1 (R1) was scheduled to be relocated to a new facility on July 19, 2025, but refused the transfer. Witness 2 (W2) confirmed that R1 was expected to be admitted to their facility on the same date; however, R1 never arrived. W2 was unable to confirm or deny the reason for R1 not being admitted.

Additionally, LPA interviewed R1, who confirmed that they left the facility on July 19, 2025, of their own free will with a friend who would be providing care. R1 stated they were never issued a written eviction notice. R1 denied ever wanting to leave the facility.

Based on the evidence gathered during the interviews, records reviewed, and observations during the investigation, the above allegations are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Joel Niblett-Administrator at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
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)

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