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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604232
Report Date: 09/17/2025
Date Signed: 09/17/2025 12:06:33 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/07/2025 and conducted by Evaluator David Roman
COMPLAINT CONTROL NUMBER: 08-AS-20250707132620
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: 10DATE:
09/17/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jose Navarro, Office Manager TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not prevent client in care from sexually assaulting another client in care.
Staff did not report incident to appropriate parties.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) David Roman conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified himself and discussed the purpose of the visit with Office Manager, Jose Navarro and met with Carolina Nunez-Garcia, Program Director.

On July 07, 2025, Community Care Licensing Division (CCLD) received a complaint alleging facility staff did not prevent client in care from sexually assaulting another client in care and staff did not report incident to appropriate parties. During the investigation, LPA D. Roman collected pertinent facility records, conducted interviews with residents, and staff. Interviews revealed the facility complied with resident care procedures and reporting requirements.

(Continued on LIC-9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
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 2
Control Number 08-AS-20250707132620
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: JACKSON HOUSE EL CENTRO
FACILITY NUMBER: 134604232
VISIT DATE: 09/17/2025
NARRATIVE
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Based on evidence obtained, the preponderance of evidence standard was not met, therefore, the allegation was unsubstantiated.

An exit interview was conducted with Office Manager, Jose Navarro and Program Director Carolina Nunez-Garcia, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2