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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 11/13/2025
Date Signed: 11/13/2025 05:17:07 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, 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
11/03/2025 and conducted by Evaluator Socorro Leandro
COMPLAINT CONTROL NUMBER: 11-AS-20251103083205
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: 123DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Administrator - Joel NiblettTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff do not ensure resident has access to call button/pendent
INVESTIGATION FINDINGS:
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On 11/13/2025, Licensing Program Analyst (LPA) Socorro Leandro conducted a subsequent complaint investigation visit regarding the allegation listed above. LPA met with the Administrator Joel Niblett, and the purpose of the visit was explained. The LPA was allowed entry to the facility.

The investigation consisted of the following: On 11/05/2025, Witness 1 (W1) was interviewed. On 11/07/2025, a tour of residents’ rooms in unit 1 was conducted and Staff 1 (S1) to Staff 3 (S3) were interviewed. On 11/13/2025, Resident 1 (R1) to Resident 7 (R7), S1, Staff 4 (S4) to Staff 7 (S7) and Witness 1 (W1) were interviewed.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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-20251103083205
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: 11/13/2025
NARRATIVE
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Allegation: “Staff do not ensure resident has access to call button/pendent.” Observations revealed the following: On 11/07/2025, residents’ bedrooms and bathrooms in unit 1 had call buttons with a long string on the wall. On 11/13/2025 around 10:30 AM, room 404 did not have a call button with a long string on the wall, furthermore, S1 and Staff 8 (S8) searched R1’s room for the said call button and S8 found said call button in drawer. On 11/13/2025, S8 screwed the call button on the wall next to R1’s bed. Interviews conducted on 11/13/2025 revealed the following: R1 indicated that they did not know where call button was located; Staff 6 (S6) indicated that R1’s call button fell and they had their call button on their bed next to them; S1, Caregiver Supervisor morning shift and S7, Caregiver Supervisor evening shift both indicated that they were not informed that R1’s call button fell from the wall. Substantiated: Based on observations and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview conducted, appeal rights explained, and a copy of this report was provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20251103083205
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/13/2025
Section Cited
CCR
87468.1(a)(2)
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Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
This requirement is not met as evidenced by:
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On 11/13/2025, the licensee corrected this deficiency by placing a call button on the wall next to R1's bed.
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Based on observation and interviews the licensee did not comply with the section cited above by R1 not being accorded a safe environment by not having access to their equipment such as their call button which posed a potential health, safety or personal rights risk to person 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: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4