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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 08/27/2025
Date Signed: 08/27/2025 04:03:32 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
08/20/2025 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250820143555
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: 110DATE:
08/27/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Joel NiblettTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff left resident in soiled clothing for a period of time.
Staff not keeping resident’s room free from odor.
INVESTIGATION FINDINGS:
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On 08/27/25, at 09:30am, Licensing Program Analyst (LPA) Perry Scott conducted an initial complaint visit to the facility and was greeted by Joel Niblett, Executive Director. LPA explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff and residents, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The department investigated the allegations mentioned in this complaint; and conducted interviews with staff (S1-S5) and residents (R1-R10). The department received the following: Resident Roster (No Date) Staff Roster (Dated: 08/25/2025), Admission Record (Dated: 06/26/2025), Physician Report LIC 602A (Dated: 07/02/2025), Medical Assessment (Dated: 08/06/2025), Service Plan (Dated: 07/09/2025), CalAIM Tier Level Assessment Form (Dated: 07/11/2025), and Caregiver Daily Flow Sheet and Shower Schedule (Dated: 08/01/2025-08/31/2025), and Discharge Notes from Memorial Care (Dated: 08/20/25) were obtained from the facility.

Report Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
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-20250820143555
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: 08/27/2025
NARRATIVE
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The investigation revealed the following: Allegation #1- Staff left resident in soiled clothing for a period of time.
The details of the complaint alleged that emergency services came to the facility on 08/20/25 because the resident (R1) was having difficulties that needed to be addressed. While at the facility it was reported that (R1) was observed to not have been cared for properly and smelled as though (R1) had not showered in weeks and was in soiled clothing. On 08/27/25, from 9:30am-2:00pm, the department interviewed staff (S1-S5) and residents (R1-R10) regarding the allegation. 4 of 5 staff stated that the resident has a history of refusing to shower and urinating on themselves as well as in their room. They state that they make every effort to change the resident when they discover that the resident has urinated or defecated on themselves but adds that the resident is very aggressive and combative when they try to change the resident. They further state that it takes several caregivers to achieve this, and it happens multiple times per day, but they do their best to keep the resident dry.

The department interviewed residents (R1-R10) about the allegation and 9 of 10 residents that were interviewed stated that they were never left in soiled clothing for an extended period of time. They state that the staff is attentive to their needs, when assistance is needed.

The department reviewed the Caregiver Daily Flow Sheet and Shower Schedule (Dated: 08/01/2025-08/31/2025) and Service Plan (Dated: 07/09/2025) and observed the resident has refused to take a shower on the following dates: 08/01/25, 08/03/25, 08/05/25, 08/06/25, 08/10/25, and 08/18/25 which were the resident’s scheduled shower days. The department did not find any evidence that the issue was being properly addressed by the facility knowing that the resident has these particular ongoing issues.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation Staff left resident in soiled clothing for a period of time, is found to be Substantiated. California Code of Regulations, Title 22, Division (6) and chapter (8) are being cited on the attached LIC 9099D.

Allegation #2- Staff not keeping resident’s room free from odor.

The details of the complaint alleged that the staff does not ensure that the resident’s room is free from odor. It was reported that staff is not ensuring that the resident is not urinating in the resident’s room and therefore the resident’s room smells of urine. On 08/27/25, from 9:30am-2:00pm, the department interviewed staff (S1-S5) and residents (R1-R10) regarding the allegation. 4 of 5 staff corroborated the allegation that Staff not keeping resident’s room free from odor. The majority of staff stated that the resident does urinate in their room and in their bed. They state that the resident’s room must be cleaned daily because the resident urinates in their urinal container and then pours it out onto the bed as well as on the floor. They further state that they make every effort to keep the room sanitized and clean and to change the resident often. However, this is an ongoing occurrence with the resident, stated staff.

Report Continued on LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20250820143555
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: 08/27/2025
NARRATIVE
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The department interviewed residents (R1-R10) about the allegation and 9 of 10 residents that were interviewed stated that their room does not have any odors, and staff cleans their room daily.

The department toured the resident’s room and observed that there is a strong urine smell as you enter the room, as well as stains on the carpet, which smells of urine.

Based on observation and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation Staff not keeping resident’s room free from odor, is found to be Substantiated. California Code of Regulations, Title 22, Division (6) and chapter (8) are being cited on the attached LIC 9099D.

Note: *Citations that are not cleared by the due date of 09/12/25 will have a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. Deficiency was cleared at the time of the visit.

Deficiencies were issued and plans of corrections were discussed.

An exit interview was conducted with Joel Niblett, Executive Director, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20250820143555
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: 08/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/12/2025
Section Cited
CCR
87466
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87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and the appropriate assistance is provided when such observations\ reveals unmet needs…This requirement was not met as evidence by:
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Licensee/Administrator shall read Title 22 Section 87466 Observation of the Resident. Licensee to do in-service training with staff on observation of residents and send proof of the in-service with signatures of staff working in assisted living and acknowledgement of the regulation. The facility will submit the plan of correction by the due date of 09/12/25 and email it to LPA Perry Scott’s email at perry.scott@dss.ca.gov to avoid monetary penalties.
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Based on observation and interviews, staff did change resident, however due to the frequency of the urination, the resident continued to be in soiled clothing for a period of time due to the resident urinating on themselves and in their bed. This violation poses a potential health and safety or personal rights risk to residents in care.
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Type B
09/12/2025
Section Cited
CCR
87303(a)
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87303(a) Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by:
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The Administrator will develop a plan of correction that will address the resident urinating in the room; and ensure that the carpeting in the room is cleaned and sanitized regularly to ensure the health and safety of the resident, employees, and visitors. The facility will submit the plan of correction by the due date of 09/12/25 and email it to LPA Perry Scott’s email at perry.scott@dss.ca.gov to avoid monetary penalties.
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Based on observation, the resident’s bedroom #207 has a strong odor of urine and the carpet was observed to have liquid stains, possibly urine stains based on the odor emanating from the carpeting. This violation poses a potential health and safety or personal rights risk to 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: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4