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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 10/14/2025
Date Signed: 10/14/2025 05:00:25 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
10/13/2025 and conducted by Evaluator Alfonso Iniguez
COMPLAINT CONTROL NUMBER: 11-AS-20251013130805
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: 47DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
01:24 PM
MET WITH:Joel Niblett/AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff are not following proper eviction procedures
INVESTIGATION FINDINGS:
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On 10/14/2025 at approximately 1:00 PM, LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met Joel Niblett/Administrator. LPA Iniguez explained the purpose of this visit.


Investigation Consisted of: LPA conducted the following interviews: Administrators Interview (A#1) and Facility Staff Interview (S#1). LPA obtained and reviewed the following documents: Resident Roster dated: 10/14/25, Staff Roster dated: 10/9/25.



Evaluation Report continues LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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-20251013130805
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: 10/14/2025
NARRATIVE
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 Investigation Revealed the Following:

Allegation: Staff are not following proper eviction procedures

The details of the complaint alleged that facility does not want to take (R#1) back from hospital.

On October 14, 2025, at approximately 2:00 PM, during an interview with (S#1), it was mentioned that (R#1) is currently hospitalized and has a Foley catheter in place. (S#1) expressed concern about who would assist (R#1) with catheter care outside the hours when the Licensed Vocational Nurse (LVN), identified as (S#2), is on duty from 8:00 AM to 4:00 PM. Additionally, (S#1) noted that (R#1)’s insurance does not cover home health services for assistance with the Foley catheter. (S#1) also stated that they spoke with the hospital social worker to inform them that (R#1) requires more support than the facility can provide. Furthermore, (S#1) acknowledged that they did not assess (R#1) before discharge while the resident was still at the hospital, which prevented (R#1) from returning to the facility.

During this investigation, the Department found sufficient evidence to support the above-mentioned allegation.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED.

California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiency was observed, and citation issued (ref. LIC 9099D).

An exit interview was conducted, and a copy of the Complaint Report was given to Joel Niblett/Administrator.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20251013130805
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: 10/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2025
Section Cited
CCR
87224(a)
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87224 Eviction Procedures
(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)...

This requirement was not met as evidence by:
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License will adhere to Title 22 at all times. As Plan of Correction, the licensee will conduct a proper discharge assessment of (R#1) and accommodate their medical needs at the facility. A proof of correction will be provided to the department before POC due date.
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Based on interviews with (S#1), the facility failed to ensure that resident (R#1) was properly assessed prior to hospital discharge. (S#1) informed the hospital social worker that (R#1) required more assistance than the facility could provide, which resulted in (R#1) not being able to return to the facility upon discharge. This poses a potential health and safety risk to the 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: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3