198320417-8-5-2026-11-AS-UCOL-DYNVT6-20261008164235

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320417
Report Date: 08/05/2026
Date Signed: 08/05/2026 04:50:42 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
06/22/2026 and conducted by Evaluator Felisa Shirley

COMPLAINT CONTROL NUMBER: 11-AS-20260622101616

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: 115	DATE:	08/05/2026
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Esperanza Naaktgeboren, Executive Director		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not complete the residents pre-admission appraisal
Facility does not ensure sufficient staffing to meet the needs of residents in care.

INVESTIGATION FINDINGS:

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On 8/5/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Administrator, 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 6/23/26 LPA Shirley reviewed copies of the following records: Staff and Resident Roster, Admission Agreement, Identification an Emergency Information, Medical Assessment for Residential Care facilities for the Elderly, Resident Assessment, Service Plan, Shower Schedule, Activity Calendars, and Housekeeping, Laundry and Janitor Schedule for June. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff 5 (S1 – S5), S6 explained Housekeeping, Laundry and Janitor schedule. S7 was interviewed on 8/5/26. LPA Shirley also interviewed Resident 1 – Resident 5 (R1-R5).
Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

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-20260622101616

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: 08/05/2026

NARRATIVE

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Allegation: Staff did not complete the residents pre-admission appraisal

It is being alleged that R1 has been in care since 5/20/26 and that staff had barely completed the care plan on 6/19/26. On 7/28/26, LPA requested and received a copy of R1’s Preplacement Appraisal Information dated 3/9/26 and signed by S5, Director of Business Development. During interview with S1, Executive Director, on 7/28/26, needs of the residents are known immediately from the pre-assessments. LPA interviewed S5 on 7/28/26 and they stated, once a new resident alert is communicated, the resident’s care needs and dietary requirements are established and communicated to the care team. The Caregiver Supervisor is responsible for immediately informing and instructing staff regarding the residents’ care plan, including any scheduled physician appointments, as soon as notification is received.

LPA interviewed staff 1 – staff 5 (S1 – S5). Of those interviewed 4 out of 5 denied the allegation and 1 was not sure. LPA interviewed resident 1 – resident 5 (R1 – R5). Of those who interviewed 1 out of 5 denied the allegation and 4 were not sure.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not complete the residents pre-admission appraisal,” therefore, the allegation is unsubstantiated.

Allegation: Facility does not ensure sufficient staffing to meet the needs of residents in care.

It is being alleged that there is not enough staff to take the residents outside or to outings. Per interview with S2 on 8/5/26, there are 3 caregivers on schedule for the morning shift and 2 caregivers scheduled during the evening shift in Unit 1 to meet the residents’ service plan needs. In addition, there is a floater caregiver that is available to provide assistance when caregivers require additional support. Per interview with S2, when a caregiver is unavailable, staff frequently pick up additional shifts to ensure residents continue to receive needed services, including transportation assistance to scheduled medical appointments. Brittany House does not own a company transportation van. However, caregivers are sometimes requested to accompany residents on walks outside the facility as appropriate to support their mobility and well-being. On 7/28/26 during interviews, LPA Shirley interviewed R3 and they stated that they enjoy walks down the street with the staff.

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260622101616

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: 08/05/2026

NARRATIVE

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LPA interviewed staff 1 – staff 5 (S1 – S5). Of those interviewed 5 out of 5 denied the allegation. LPA interviewed resident 1 – resident 5 (R1 – R5). Of those who interviewed 5 out of 5 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Facility does not ensure sufficient staffing to meet the needs of residents 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: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3