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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005809
Report Date: 09/23/2026
Date Signed: 09/23/2026 10:41:55 AM

Document Has Been Signed on 09/23/2026 10:41 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:BRITTA CAREFACILITY NUMBER:
306005809
ADMINISTRATOR/
DIRECTOR:		MANGISI, FRANKFACILITY TYPE:
740
ADDRESS:106 S JEANINE WAYTELEPHONE:
(714) 630-4791
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 6CENSUS: DATE:
09/23/2026
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Frank Mangisi, LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On today’s date, Licensing Program Manager (LPM) Alisa Ortiz and Licensing Program Analyst (LPA) Rose Ruppert met with Licensee (LE), Frank Mangisi, for the purpose of discussing current operations at the facility after an annual visit on August 12, 2026.

The following was discussed:

· Concerns regarding recent Annual visit which resulted in: 6 Type A, 11 Type B, and 4 Technical Violations. Deficiencies discussed during today’s visit were as follows:

o A non-ambulatory resident resided in an ambulatory room.

o Sharps/Knives drawer and medications were unlocked and accessible.

o Licensee’s requirement to have the following documents on file: TB test for one of five residents, a health screening for one of five staff, Admissions Agreements and Pre-Appraisals for three of five residents, and a record of dosages of centrally stored medications for five of five residents

o Licensee’s requirement to conduct a fire drill quarterly for each shift with documentation stating the type of emergency covered by the drill and staff members’ names who participated in the drill

o Licensee’s requirement to provide training, including dementia training, for five of five staff members, to document training conducted and to place in staff member files

o Licensee’s Administrator’s Certificate has lapsed and there was no Administrator Designated to the facility.

(Continued on LIC 809-C)

Alisa Ortiz
RoseMarie Ruppert
DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BRITTA CARE
FACILITY NUMBER: 306005809
VISIT DATE: 09/23/2026
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(Continued from LIC 809)

· During the meeting Licensee was reminded of requirement to keep Corporation filing with Secretary of State in good standing at all times. Failure to do so could result in possible forfeiture of license.

The Licensee stated the following during today’s meeting:

· Licensee moved the non-ambulatory resident to a designated non-ambulatory room #5. Licensee will check with facility floor plan and fire clearance prior to placing a resident in a room. Licensee will check Physician's Report for ambulatory status.

· On-going staff training will be in place to ensure sharps, knives and medications are secured. Licensee will look into automatic locking mechanisms.

· Licensee stated a part-time staff member has been hired to assist with documentation and files on 9/22/2026. Licensee is to meet with staff member on 9/24/2026 to create a detailed plan to address the Plan of Corrections and to email LPA by close of business 9/24/2026. Weekly updates will be communicated to LPA regarding documentation. Open Plan of Corrections are due on October 9, 2026.

· Licensee will reach out to vendors such as: home health, hospice, pharmacies, etc. for assistance with centrally stored medications lists.

· Licensee will conduct dementia training and additional training for staff members for the 20 hour requirement.

· Licensee will submit a Health Screening Report or physical exam for one of five staff members (LIC 503) by 9/27/2026 by emailing LPA. Regulations were provided for Licensee with a copy of the report.

· Licensee will provide paperwork for Administrator Designee by end-of-business, 9/24/2026, which includes LIC 501, LIC 503 and photo identification such as a driver's license or passport.

· Licensee sent continuing education units (CEU)s, via certified mail, on 9/18/2026 for administrator certificate. Licensee will follow up with the Administrator Certification Bureau (ACB) for status.

(Continued on LIC 809-C1)

NAME OF LICENSING PROGRAM MANAGER: Alisa Ortiz
NAME OF LICENSING PROGRAM ANALYST: RoseMarie Ruppert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BRITTA CARE
FACILITY NUMBER: 306005809
VISIT DATE: 09/23/2026
NARRATIVE
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(Continued from LIC 809-C)

During the meeting the Technical Support Program (TSP) referral was discussed and the Licensee has agreed to participate.

An exit interview was conducted with Licensee Frank Mangisi and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Alisa Ortiz
NAME OF LICENSING PROGRAM ANALYST: RoseMarie Ruppert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC809 (FAS) - (06/04)
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