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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005918
Report Date: 05/13/2025
Date Signed: 05/13/2025 04:00:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2023 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 22-AS-20230818143507
FACILITY NAME:LI'L HOUSE ON FARRINGTON, THEFACILITY NUMBER:
306005918
ADMINISTRATOR:JABONERO, JEREMIASFACILITY TYPE:
735
ADDRESS:1241 FARRINGTON DR.TELEPHONE:
(714) 975-3025
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:4CENSUS: DATE:
05/13/2025
UNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Jeremias Jabonero, AdministratorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff is extinguishing cigarettes on clients and shooting BB pellets at them
INVESTIGATION FINDINGS:
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On 05/13/2025, Licensing Program Analyst (LPA) Cassandra Mikkelson contacted the licensee via phone to deliver final findings regarding a complaint that was received on 08/18/2023. LPA Mikkelson spoke with Administrator Jeremias Jabonero and explained the purpose of the call.

During the investigation, the Department the allegation listed about. The Department toured the facility, conducted interviews with staff and clients and obtained documentation pertinent to the investigation.

**Continued on 9099-C**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2025
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 22-AS-20230818143507
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: LI'L HOUSE ON FARRINGTON, THE
FACILITY NUMBER: 306005918
VISIT DATE: 05/13/2025
NARRATIVE
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Interview with the administrator indicated that Client (C1) had a history of behaviors and making allegations that were false. Administrator stated that staff conduct body/skin checks for each client daily and documented findings in order to observe any possible injuries as there are self harming behaviors indicated in some of the clients. Administrator stated that multiple staff members were on shift in order to help with clients and ensure the safety and protection of staff and client interactions.

Interviews with Client C1 and C3 indicated that they are happy in the home with no complaints regarding care or staff. C1 indicated that they felt safe in the home. C3 stated that staff are nice and have not done anything to hurt or upset any of the clients in the home.

Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Licensee was advised a copy of this report will be sent via certified mail. Two copies of the report will be sent. The Licensee is to sign and return a copy to the Orange County Regional Office.


SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2025
LIC9099 (FAS) - (06/04)
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