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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 01/14/2026
Date Signed: 01/14/2026 04:48:23 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
01/12/2026 and conducted by Evaluator Alfonso Iniguez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260112122234
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: 62DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
09:42 AM
MET WITH:Joel Niblett/Facility AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not notify resident's responsible party of a scabies outbreak.
INVESTIGATION FINDINGS:
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On 1/14/2026, 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), Wellness Director (S#1) and Facility Nurse (S#2) .LPA gathered the following documents: copy of facility resident roster dated : 1/14/26, copy of facility staff roster or LIC 500 dated: 1/9/2026, copies of (R#2) staff notes dated: 12/7/25, 12/8/25, 12/11/25, 12/13/25, and 12/19/25, copies of (R#1)’s staff notes dated: 12/8/25/, 12/9/25, 12/14/25, and 12/26/25.


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: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
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-20260112122234
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: 01/14/2026
NARRATIVE
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Investigation Revealed the Following:

Allegation: Staff did not notify resident's responsible party of a scabies outbreak.

The details of the complaint alleged that facility did not notify (R#1)’s responsible party regarding scabies outbreak.

On January 14, 2026, Licensing Program Analyst (LPA) Alfonso Iniguez conducted a comprehensive records review, including (R#2)’s staff notes. The review found that on December 7, 2025, an email was sent to (R#2)’s home health provider regarding a possible health condition. The facility isolated (R#2) on December 8, 2025. On December 15, 2025, a health condition was diagnosed, and the following medications were prescribed: ivermectin 3mg oral tablets and permethrin 5% cream. LPA Iniguez also reviewed (R#1)’s staff notes dated 12/8/25, 12/9/25, 12/14/25, and 12/26/25, and observed no documentation indicating that facility staff informed (R#1)’s representative of (R#2)’s “health condition.”

On 1/14/26 at approximately 10:30 AM, Licensing Program Analyst Alfonso Iniguez spoke with (A#1). LPA inquired if the facility had reported (R#2)’s health condition to (R#1)’s responsible party, since (R#1) and (R#2) shared a room. (A#1) responded that this responsibility belonged to the facility nurse (S#2) and wellness director (S#1), and stated, “otherwise I don’t know if it was reported.”

On 1/14/2026 at approximately 10:30 AM, Licensing Program Analyst Alfonso Iniguez asked (S#1) if documentation existed showing staff reported (R#2)’s health condition to (R#1)’s responsible party. (S#1) confirmed there was no written record in the residents’ notes and indicated the facility nurse (S#2) could provide further information.

Evaluation Report continues LIC 9099-C

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

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20260112122234
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: 01/14/2026
NARRATIVE
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On 1/14/2026 at approximately 11:00 AM, Licensing Program Analyst Alfonso Iniguez requested documentation from (S#2) confirming that staff reported (R#2)’s communicable disease outbreak to (R#1)’s responsible party. (S#2) reviewed the resident’s electronic notes and found no record of staff notifying (R#1)’s responsible party about (R#2)’s health condition. LPA Iniguez then asked (S#2) to print the notes.

During this investigation, LPA 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: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20260112122234
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: 01/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2026
Section Cited
CCR
87211(a)(1)
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87211 Reporting Requirements
(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...
(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D)...
This requirement was not met as evidence by:
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Licensee will adhere to Title 22 at all times. As part of the plan of correction, the facility will conduct an in-service with facility nurses, medtechs, and facility administrators regarding reporting requirements. Proof of in-service will be sent to LPA Iniguez via email before the POC due date.
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Based on observation and record review, facility staff failed to ensure to report to (R#1)'s responsible party regarding (R#2)'s health condition.This poses a potential health and safety 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: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4