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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 08/01/2025
Date Signed: 08/01/2025 09:44:00 AM

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
12/16/2024 and conducted by Evaluator Troy Watson
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20241216112039
FACILITY NAME:BRITTANY HOUSEFACILITY NUMBER:
198320417
ADMINISTRATOR:WINKELBAUER, SHANEFACILITY TYPE:
740
ADDRESS:5401 E CENTRALIA STTELEPHONE:
(562) 421-4717
CITY:LONG BEACHSTATE: ZIP CODE:
90808
CAPACITY:170CENSUS: 94DATE:
08/01/2025
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:JOEL NIBLETT - ADMINISTRATORTIME COMPLETED:
09:45 PM
ALLEGATION(S):
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staff do not meet resident's dietary needs.
staff do not meet resident's dental hygiene needs.
staff do not provide outdoor activities to residents.
staff do not provide comfortable accommodations to residents.
staff do not provide refunds to responsible parties.
staff do not keep the facility in a sanitary condition.
INVESTIGATION FINDINGS:
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** The report dated 8/1/2025 serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected in the report published on 12/20/24. **

On 04/30/2025 LPA Watson conducted a subsequent complaint visit to the facility listed above. LPA met with the Resident Care Coordinator Marcus Fulanai and the purpose of today’s visit was explained. LPA was given access to the facility.

CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
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 7
Control Number 11-AS-20241216112039
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: 08/01/2025
NARRATIVE
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The investigation consisted of the following:

On 12/20/2024 Licensing Program Analyst (LPA) Watson requested, reviewed, and obtained copies of the Staff Roster, Client Roster, Face Sheet & Emergency Info. Appraisal Needs and Services, Admission Agreement (05/25/21), Physicians Reports (09/28/24), ID & Emergency Information (12/06/24) Copy of Citi Bank Check, December Dietary Calendar, December Activities Calendar (12/25). On 12/20/24 LPA Watson interviewed Staff#1-Staff#4 (S1-S4) and Residents #1-Residients #5 (R1-R5).

CONTINUED ON LIC-9099C

The investigation revealed the following:

Allegation: Staff do not meet residents’ dietary needs.

It is being alleged that the staff do not make the necessary dietary adjustments for meals served to the residents. On 12/20/2024 LPA Watson conducted interviews with Residents #2- Residents #6 (R2-R6). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the visit. LPA Watson asked the residents if staff neglected to meet their dietary needs. Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 LPA Watson interviewed Staff #1- Staff #4 (S1-S4). LPA Watson asked the staff if they met the residents’ dietary needs. Of those interviewed, 4 out of 4 staff stated that residents’ dietary needs were met. ON 7/25/2025 LPA reviewed the Physicians Report for (R1), and it showed a special diet recommendation of mechanical soft food. On 7/25/2025 a letter was provided by facility cook, which states that facility kitchen prepared a mechanical soft diet for R1. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 11-AS-20241216112039
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: 08/01/2025
NARRATIVE
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Allegation: staff do not meet residents’ dental hygiene needs.

On 12/20/2024 LPA Watson conducted interviews with Residents #2- Residents #6 (R2-R6). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff helped them with their dental hygiene needs. Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 LPA Watson interviewed Staff #1- Staff #4 (S1-S4). LPA Watson asked the staff if they assisted residents with their hygiene needs. Of those interviewed, 4 out of 4 staff denied the above allegation. On 7/25/2025 LPA Watson reviewed the Physicians Report for R1 and it showed that R1 needs help with her dental hygiene. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 11-AS-20241216112039
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: 08/01/2025
NARRATIVE
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Allegation: staff do not provide outdoor activities for residents.

It is being alleged that staff do not schedule outdoor activities for the residents. On 12/20/2024 LPA Watson conducted interviews with Residents #2- Residents #6 (R2-R6). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff provided outdoor activities for them. Of those interviewed, 5 out of 5 residents interviewed stated that activities were provided to them by the facility. On 04/30/25 LPA Watson asked the residents if they were allowed to go outside and participate in outdoor activities. 5 out of 5 residents interviewed stated that they were allowed to go outside and participate in outdoor activities. On 12/20/2024 LPA Watson interviewed Staff #1- Staff #4 (S1-S4). LPA Watson asked the staff if the facility provided outdoor activities for the residents. 4 out of 4 staff interviewed stated that the facility provided outdoor activities for the residents. On 04/30/25 LPA Watson asked the staff if residents were allowed to go outside and participate in outdoor activities. 4 out of 4 staff interviewed stated that residents were allowed to go outside and participate in outdoor activities. On 12/20/24 LPA Watson reviewed the facilities Activities Calendar for December 2024 and observed that every day of the month, the facility scheduled activities for the residents. Further review of records shows that admissions agreement, addendum O, states facility activities programing includes neighborhood walks, field trips and occasional outings. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 11-AS-20241216112039
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: 08/01/2025
NARRATIVE
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Allegation: staff do not provide comfortable accommodation to residents.

It is being alleged that staff do not ensure that residents living accommodations are comfortable at the facility. On 12/20/2024 LPA Watson conducted interviews with Residents #2- Residents #6 (R2-R6). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff provided comfortable accommodation. Of those interviewed, 5 out of 5 residents stated that the staff provided comfortable accommodations for the residents. On 12/20/2024 LPA Watson interviewed Staff #1- Staff #4 (S1-S4). LPA Watson asked the staff if they provided comfortable accommodation such as private rooms free of noise. Of those interviewed, 4 out of 4 staff stated that residents are provided with comfortable accommodation. LPA Watson toured the facility with the Resident Care Coordinator Marcus Falanai and observed residents being accommodated comfortably in a minimal noise free environment. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 11-AS-20241216112039
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: 08/01/2025
NARRATIVE
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Allegation: staff do not provide refunds to responsible parties.

On 12/20/2024 LPA Watson conducted interviews with Residents #2- Residents #6 (R2-R6). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff provided refunds to responsible parties. Of those interviewed, 5 out of 5 stated that the staff have never had to issue a refund to them because they and or their responsible parties handled their money. On 12/20/2024 LPA Watson interviewed Staff #1- Staff #4 (S1-S4). LPA Watson asked the staff if they provided refunds to responsible parties. Of those interviewed, 4 out of 4 staff stated that they do not handle or have access to the residents’ monies. LPA Watson reviewed the Admission Agreements for (R1) and it shows on Page 8, under Section VI A. Termination:” This Agreement may be terminated by Resident within thirty (30) days’ written notice, with the rate provided in this Agreement and thereafter modified from time to time, payable to the end of that termination date or Resident’s unit is vacated.” LPA Watson reviewed the Admission Agreement for Resident # 1 (R1) and it states on Page 8, under Section VI “Refunds: Refunds are generally available only if Resident gives Community thirty (30) – days’ advanced notice of his/her intention to leave Community, Refunds , needs will not be adequately met by care provided in the Community, and Resident’s condition prevents him/her giving thirty (30)-days’ written notice to Community/ In such case, a refund will be made on a daily pro-rated basis. Daily charges will not be incurred if the Resident’s person effects are removed from the Community by 12:00 p.m.” LPA Watson followed up with Administrator Joel Niblett regarding refunds and was informed that facility did not receive Thirty day notice of termination from family of R1. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 11-AS-20241216112039
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: 08/01/2025
NARRATIVE
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Allegation: staff do not keep the facility in a sanitary condition.

It is being alleged that the facility is not maintained in a clean and sanitary condition. On 12/20/2024 LPA Watson conducted interviews with Residents #2- Residents #6 (R2-R6). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff do not keep the facility in a sanitary condition? Of those interviewed, 5 out of 5 residents denied the above allegation. On 12/20/2024 LPA Watson interviewed Staff #1- Staff #4 (S1-S4). LPA Watson asked the staff if they do not keep the facility in a sanitary condition. Of those interviewed, 4 out of 4 staff denied the above allegation. LPA Watson toured the facility with the Resident Care Coordinator Marcus Fulanai and observed the facility clean, sanitary and in good repair. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with the Administrator Joel Niblett and a copy of this report was provided.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2025
LIC9099 (FAS) - (06/04)
Page: 7 of 7