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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 07/21/2026
Date Signed: 07/21/2026 04:26:10 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
07/14/2026 and conducted by Evaluator Felisa Shirley
COMPLAINT CONTROL NUMBER: 11-AS-20260714094134
FACILITY NAME:BRITTANY HOUSEFACILITY NUMBER:
198320417
ADMINISTRATOR:ESPERANZA NAAKTGEBORENFACILITY TYPE:
740
ADDRESS:5401 E CENTRALIA STTELEPHONE:
(562) 421-4717
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:170CENSUS: 126DATE:
07/21/2026
UNANNOUNCEDTIME BEGAN:
08:18 AM
MET WITH:Executive Director, Esperanza NaaktgeborenTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Inadequate food services
Facility water system is in disrepair
Staff do not ensure that residents' showering needs are met while in care
INVESTIGATION FINDINGS:
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On 7/21/26, 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 7/21/26 LPA Shirley reviewed copies of the following records: Staff and Resident Roster, weekly Menu for July 19 - 25, Alternative Menu, Alternative Menu selection options, Invoice from Ironwood Plumbing, Water Temperature Recordings for June and July 2026, Outside Agency/Services Documentation, shower schedules, list of special diets and food allergies. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff 6 (S1 – S6), and Resident 1 – Resident 6 (R1-R6).

Con'd on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
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-20260714094134
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: 07/21/2026
NARRATIVE
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The investigation revealed the following:

Allegation: Inadequate food services

It is being alleged that there aren’t alternative food options available for residents in care. On 7/21/26, LPA Felisa Shirley observed and requested copy of the Alternative Menu of food options offered to residents in care. LPA Shirley also observed the selection options handouts for the Alternative Menu. Per the selection options, the handouts request resident’s name, room number, date and instructions to circle their preferred alternate option if desired. On 7/21/26, LPA Shirley interviewed S3, the Maintenance Assistant, who stated that a vending machine was brought to the facility to provide snacks to the residents who desire additional snacks. LPA interviewed facilities Dietician Manager, S4 on 7/21/26 and they stated that they’ve established rotating menus to accommodate each resident. During this interview, S4 indicated peanut products were temporarily removed from the menu to accommodate the dietary needs of a resident with a peanut allergy and to help ensure a safe dining environment. S4 also offered that during their recent menu review, they evaluated their food service policies to ensure that they are offering a fair variety to all residents. During the monthly Resident Council meeting they announced that they have decided to bring peanut products back to the menu. Staff would be working closely with residents to ensure safe alternatives are in place for the residents in care. Per the interview with S4 on 7/21/26, a water pitcher and an ice chest are available in each resident unit to support hydration. In addition, staff routinely offer water to residents in their rooms throughout the day to help ensure adequate hydration.

LPA interviewed staff 1 – staff 6 (S1 – S6). Of those interviewed 5 out of 6 denied the allegation. One confirmed the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 6 out of 6 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Inadequate food services,” therefore, the allegation is unsubstantiated.

Allegation: Facility water system is in disrepair

It is being alleged that the facility’s water system does not support resident care needs. On 7/21/26, LPA Shirley observed an invoice from Ironwood Plumbing dated 7/21/26. LPA Shirley also received a copy of the

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260714094134
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: 07/21/2026
NARRATIVE
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Water Temperature Recordings for June and July 2026. The recorded water temperatures met the regulatory minimum and maximum temperature requirements. Water temperatures are checked weekly in different locations. Per interview with S3 on 7/21/26, since 7/13/26, while the Maintenance Manager has been on vacation, the Maintenance Assistant, S3 has been overseeing maintenance operations. During this time, the domestic hot water temperature has been dropping overnight. To ensure residents are able to shower as scheduled, S3 has been resetting the water heater temperature each morning and monitoring throughout the day. Per interview with the Executive Director, S1, once given notice of problem with the hot water, a technician was called and scheduled to come to the facility on 7/21/26. Upon review of the invoice from Ironwood Plumbing dated, 7/21/26, a part was replaced and the water heater is up and running at this time.

LPA interviewed staff 1 – staff 6 (S1 – S6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 6 out of 6 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Facility water system is in disrepair,” therefore, the allegation is unsubstantiated.

Allegation: Staff do not ensure that residents' showering needs are met while in care

It is being alleged that R6 isn’t able to have showers as scheduled by home health due to water temperature issues. On 7/21/26 LPA Shirley received copy of Outside Agency/Services Documentation from Caring Cove Home Health (CCHH) dated, 6/27/26. CCHH sends a Technician to Brittany House every Wednesday and Saturday to give shower services to R6. On 7/21/26 LPA Shirley called to verify R6’s service history. LPA Shirley was informed that the last service was completed on Saturday, 7/18/26, and the next scheduled service is tomorrow, Wednesday, 7/22/26. The Representative Annie verified service with the technician which stated that they did not report any issues with the water during previous service appointments.

LPA interviewed staff 1 – staff 6 (S1 – S6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 6 out of 6 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff do not ensure that residents’ showering needs are being me while in care,” 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 the Executive Director, Esperanza Naaktgeboren.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3