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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604232
Report Date: 07/15/2025
Date Signed: 07/15/2025 12:20:45 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/15/2021 and conducted by Evaluator Donna Teutschel
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210615142750
FACILITY NAME:JACKSON HOUSE EL CENTROFACILITY NUMBER:
134604232
ADMINISTRATOR:CAROLINA NUNEZ-GARCIAFACILITY TYPE:
772
ADDRESS:2364 SOUTH 2ND STREETTELEPHONE:
(760) 237-9769
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY:16CENSUS: DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Patrick Ziemer-CEOTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Client was over-medicated while in care.
Staff did not notify responsible party of client's discharge.
Facility did not allow visitor inside facility.
Staff did not provide privacy to client during personal interactions.
INVESTIGATION FINDINGS:
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LPMII RA, Donna Teutschel conducted a telephone interview with CEO, Patrick Ziemer regarding this complaint. Statements obtained reveal that C1's finacee imposed herself into C1's matters and is not C1's responsible party. C1 has no responsible party other than himself, no Guardian or POA. Insufficient information was received or obtained regarding any incidents where C1 was over-medicated while at the facility or that facility staff prohibited a visitor for C1 inside the facility nor permit privacy during personal interactions. The Department has insuffienct information to date and is unable to prove or disprove the above allegations.

Licensing Report emailed to CEO: PZIEMER@APIBHS.COM
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stacy Barlow
LICENSING EVALUATOR NAME: Donna Teutschel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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