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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 12/16/2025
Date Signed: 12/16/2025 03:11:44 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/09/2025 and conducted by Evaluator Socorro Leandro
COMPLAINT CONTROL NUMBER: 11-AS-20251209091931
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: 119DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Administrator - Joel NiblettTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff does not ensure facility is kept clean, safe, and sanitary at all times.
INVESTIGATION FINDINGS:
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On 12/16/2025, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced complaint investigation visit regarding the allegation listed above. LPA met with the Administrator Joel Niblett, and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following:

On 12/16/2025, a facility tour was conducted, interviews were conducted, and records were reviewed. Interviews were conducted with Resident 1 (R1) to Resident 11 (R11) and Staff 1 (S1) to Staff 7 (S7). Facility records were reviewed which consisted of Personnel Report dated 11/17/2025, Resident Roster, Facility Map, and Staff Census for 12/08/2025.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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-20251209091931
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: BRITTANY HOUSE
FACILITY NUMBER: 198320417
VISIT DATE: 12/16/2025
NARRATIVE
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The investigation revealed the following:

Allegation: “Staff does not ensure facility is kept clean, safe, and sanitary at all times”, it is being alleged that the on 12/08/2025 the facility roof was cleaned, and due to that debris and dust blew into the hallways and rooms which caused residents to have breathing problems. Interviews conducted with R1 to R11 revealed the following: 11 out of 11 residents denied the allegation. Interviews conducted with S1 to S7 revealed the following: 7 out of 7 staff denied the allegation, furthermore, staff indicated that on 12/08/2025 the facility did not clean the roof. Observations on 12/16/2025 revealed the following: A tour of the facility was conducted, and debris and dust were not observed in community rooms, dining rooms, hallways, and rooms. Rooms 201, 203, 204, 205, 208, 209, 212, 214, 215, 216, 217, 218, 220, 235, and 236 were observed to be clean without debris and dust. Records reviewed of Unusual Incident/Injury Reports (UIR) from 12/2025 revealed the following: There were no UIRs that indicated that the facility cleaned the roof and/or residents having difficulty breathing. Based on the department’s interviews, observations, and records reviewed this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report was left with the Administrator, Joel Niblett.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2