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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 04/09/2026
Date Signed: 04/09/2026 04:24:13 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
09/19/2025 and conducted by Evaluator Alfonso Iniguez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250919104757
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: 118DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Esperanza Naaktgeboren/AdministratorTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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9
Facility does not have sufficient staffing to provide care to residents.
INVESTIGATION FINDINGS:
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This report supersedes the report created 12/22/25 and the findings will remain unchanged.
On 4/9/2026 at approximately 2:00 PM, LPA Alfonso Iniguez conducted an unannounced subsequent complaint visit. LPA Iniguez met Esperanza Naaktgeboren/Administrator. LPA Iniguez explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Administrators Interview (A#1), Residents Interviews (R#1-R#6) and Staff Interview (S#1-S#5). LPA obtained and reviewed the following documents: Resident Roster dated: 9/26/25, Staff Roster dated: 9/25/25, copies of (R#1 and R#4) Physicians Report for Residential Care Facilities for the Elderly or LIC 602 various dates, copies of (R#1-R#4) Admissions Agreement various dates, copies of (R#1-R#4) Identification and Emergency Information or LIC 601 various dates, copies of (R#1-R#4) Appraisal/Needs and Services Plan or LIC 625 various dates, and a copy of facility Call-off Tracking Log for the month of September 2025.
Evaluation Report continues LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
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-20250919104757
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: 04/09/2026
NARRATIVE
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This report supersedes the report created 12/22/25 and the findings will remain unchanged.

Investigation Revealed the Following:

Allegation: Facility does not have sufficient staffing to provide care to residents.

The details of the complaint alleged that it was observed that there are not enough staff during regular hours.


On October 21, 2025, at 1:00 p.m., Licensing Program Analyst (LPA) Iniguez obtained and reviewed the facility’s Call-off Tracking Log for September 29–30, 2025 and October 1–3, 2025. The department found that the facility schedules on average approximately (33) care staff per day. The facility experiences on average, approximately (5) staff callouts, and this results in an average of approximately (28) staff per shift are available to provide care and supervision. On December 22, 2025, at 10:00 a.m., LPA Iniguez obtained and reviewed Functional Capabilities Assessments (LIC 9172) for 56 residents and found their care needs range from independent to requiring assistance. Based on the daily staffing schedules (Dated) reviewed, the department found (9) caregivers, (3) medication technicians, and (1) LVN are working the AM shift. The department found (8) caregivers, (3) medication technicians, and (1) LVN are working during the PM shift. The department found (7) caregivers and (1) medication technician working during the overnight shift. The department found sufficient staffing to support the needs of the residents are present for each shift.

On September 26, 2025, at approximately 10:00 a.m., during an Interview with the facility Administrator (A#1), he stated that we have sufficient staff to provide care and supervision for the memory care residents. However, there are days when we experience a high number of callouts from facility staff.

Evaluation Report continues LIC 9099-C

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

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250919104757
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: 04/09/2026
NARRATIVE
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This report supersedes the report created 12/22/25 and the findings will remain unchanged.

This situation often requires some employees to work overtime and double shifts. Additionally, (A#1) mentioned that when there are call-outs, the remaining facility staff members covering for those absent are expected to meet the needs of the residents in their care. (A#1) also expressed that when staff members call out, he does not believe there is an immediate danger to the residents.

On September 26, 2025, at approximately 11:00 AM, during an interview with residents (R#1-R#6), (6) out of (6) stated that the facility does not have enough staff to take care of them and the rest of the residents in care.



On September 26, 2025, at approximately 12:00 PM, during an interview with facility staff (S#1-S#6), (5) out of (6) stated that the facility does not have enough staff to provide care to residents. In addition, (6) out of (6) facility staff said that they feel the residents are not in immediate danger due to staffing issues; however, this can potentially become a problem since sometimes there are (1) caregiver per (20) residents with different care needs.

During this investigation, LPA did not find sufficient evident to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.


An exit interview was conducted, and a copy of the Complaint Report was given to Esperanza Naaktgeboren/Administrator.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3