198320417-5-13-2026-11-AS-PMAA-DUFQH5-20260526121033

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 05/13/2026
Date Signed: 05/13/2026 05:05:49 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, 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
05/04/2026 and conducted by Evaluator Felisa Shirley

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260504144843

FACILITY NAME:	BRITTANY HOUSE		FACILITY NUMBER:	198320417
ADMINISTRATOR:	ESPERANZA NAAKTGEBOREN		FACILITY TYPE:	740
ADDRESS:	5401 E CENTRALIA ST		TELEPHONE:	(562) 421-4717
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90808
CAPACITY:	170	CENSUS: 124	DATE:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	11:06 AM
MET WITH:	Esperanza Naaktgeboren, Executive Director		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not provide adequate supervision to residents, resulting in resident being injured by another resident
Licensee does not ensure adequate staffing to meet the needs of residents
Staff did not keep resident's room clean
Staff did not ensure resident was bathed

INVESTIGATION FINDINGS:

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On 5/13/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Executive Director, Esperanza Naaktgeboren and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility.
The investigation consisted of the following:

On 5/13/26 LPA Shirley reviewed copies of the following records: Staff and Resident Roster, Special Incident Reports, HouseKeeping Schedule, Resident Shower Schedule, April Staff Schedule, Unusual Incident/ Injury Reports, Information and Emergency Information, Physicians Report, Resident Assessment and Admission Agreement, Caregiver Daily Flow Sheet, and 24-Hour Communication log. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff 6 (S1 – S6), and Resident 2 – Resident 8 (R2-R8) LPA Felisa Shirley attempted to interview R1.

Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

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 3

Control Number 11-AS-20260504144843

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: 05/13/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff did not provide adequate supervision to residents, resulting in resident being injured by another resident

It is being reported that R1 was injured by another resident on 4/10/26. On 5/13/26, LPA Felisa Shirley reviewed the Unusual Incident/Injury Report, dated 4/10/26 reporting a small argument between R1 and another resident over a remote control for the television and R1 was injured by another resident. Per the incident report, dated 4/10/26, staff spoke to R1’s family member and was advised that R1’s behaviors can cause conflict with other residents. On 5/13/26, LPA Shirley reviewed R1’s Resident Assessment, dated 2/27/26. Per assessment, R1 has behavioral challenges and has inappropriate behaviors more than once a day. On 5/13/26, LPA Shirley toured this facility and went directly to R1’s room and observed R1 arguing with their assigned roommate. LPA attempted to convience R1 to leave the room for an interview. R1 did not leave. R1 refused to respond to LPA Shirley as R1 kept shouting in Spanish to her roommate.

LPA interviewed staff 1 – staff 6(S1 – S6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 2 – resident 8 (R2 – R8). Of those who interviewed 7 out of 7 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not provide adequate supervision to residents, resulting in resident being injured by another resident,” therefore, the allegation is unsubstantiated.

Allegation: Licensee does not ensure adequate staffing to meet the needs of residents

It is being reported that a family member stated that it appears that Unit Five goes without supervision for hours. Family member stated that on 4/11/26 at 2:30pm, staff were not available in Unit Five. On 5/13/26, LPA Shirley reviewed staff’s April work schedule. During review of the schedule on 5/13/26, LPA observed that there are 3 work shifts. Per interview with S2 on 5/13/26, the work shifts are morning shift 6:30am to 2:30pm, evening shift 2:30pm to 10:30pm and Noc Shift 10:30pm to 6:30am. Per interview with S2, there are 2 caregivers per shift. On 5/13/26, LPA toured this facility at 2:25pm and observed a shift change within the unit. LPA Shirley observed that 2 caregivers were leaving and 2 caregivers were beginning their shift.

LPA interviewed staff 1 – staff 6(S-1 – S-6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 2 – resident 8 (R2 – R8). Of those who interviewed 7 out of 7 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Licensee does not ensure adequate staffing to meet the needs of residents,” therefore, the allegation is unsubstantiated.

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260504144843

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: 05/13/2026

NARRATIVE

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Allegation: Staff did not keep resident's room clean

It is being reported that a family member visited R1 on 4/11/26 and stated that it appeared that R1’s room had not been cleaned for some time. On 5/13/26, LPA Shirley reviewed the HouseKeeping Schedule and observed that all rooms are cleaned daily. The Housekeeping schedule begins at 6:30am thru 3pm, Monday thru Friday. On 5/13/26, the Maintenance Supervisor, stated that the schedule is the same for the weekends. Per interview on 5/13/26, S4 stated that all rooms are cleaned daily. On 5/13/26 at 11am, LPA Shirley conducted a tour of this facility and went directly to R1’s room and observed that the room was clean.

LPA interviewed staff 1 – staff 6 (S-1 – S-6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 2 – resident 8 (R2 – R8). Of those who interviewed 5 out of 7 denied the allegation. One agreed and 1 was not sure.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not keep resident’s room clean,” therefore, the allegation is unsubstantiated.

Allegation: Staff did not ensure resident was bathed

It is being reported that on 4/11/26, a family member of R1 stated that she requested a staff member to bath R1 because it appeared that R1 had not been bathed. On 5/13/26, LPA Felisa Shirley reviewed R1’s shower schedule and observed that R1 is scheduled to be showered 2 times per week, on Tuesdays and Saturdays. LPA notes that 4/11/26 was on a Saturday. On 5/13/26 observed the staff’s 24-hour communication log for 4/11/26. Per the log, R1 refused to be showered. Per interview with S2 on 5/13/26, R1 hardly ever agrees to a shower.

LPA interviewed staff 1 – staff 6 (S-1 – S-6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 2 – resident 8 (R2 – R8). Of those who interviewed 4 out of 7 denied the allegation. Three residents stated that they shower independently.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not ensure resident was bathed,” therefore, the allegation is unsubstantiated.

No deficiencies were cited for these allegations.

An exit interview was conducted and a copy of this report was provided to Esperanza Naaktgeboren, Executive Director.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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