306001397-6-21-2026-22-AS-APAO-DVT44S-20260708184648

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306001397
Report Date: 05/25/2026
Date Signed: 06/21/2026 10:37:53 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
09/28/2021 and conducted by Evaluator Jason Lund

COMPLAINT CONTROL NUMBER: 22-AS-20210928082256

FACILITY NAME:	JONATHAN'S HOME		FACILITY NUMBER:	306001397
ADMINISTRATOR:	PRISCILLA S. BUSTAMANTE		FACILITY TYPE:	735
ADDRESS:	1519 SHELTON ST		TELEPHONE:	(714) 754-7184
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92707
CAPACITY:	6	CENSUS: 0	DATE:	05/25/2026
		UNANNOUNCED	TIME BEGAN:	08:00 PM
MET WITH:			TIME COMPLETED:	09:00 PM

ALLEGATION(S):

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Facility not able to meet the client’s needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jason Lund delivered complaint findings via email to current Administrator Priscilla Bustamante for the following allegation above due to the facility having a census of zero.

Facility not able to meet the client’s needs- LPA Lund attempted to interview Reporting Party (RP), Administrator Priscilla Bustamante and any former clients in care. Based on not being able to interviews with RP, Administrator Priscilla Bustamante and any former clients in care, LPA Lund can’t verify if the facility is meeting the client’s needs. LPA Lund could not get any documentation from facility and as of 8/28/2025 when licensing did a one year required visit at the facility it had no clients in care.
****LPA Lund amended the complaint to put signature not available*******

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2026

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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Control Number 22-AS-20210928082256

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: JONATHAN'S HOME	FACILITY NUMBER: 306001397
	VISIT DATE: 05/25/2026

NARRATIVE

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Based on no interviews with RP, Administrator Priscilla Bustamante and any former clients in care and no documentation from the facility on the information provided, it was unclear if facility not able to meet the client’s needs, therefore the allegation was deemed UNSUBSTANTIATED.

As a result of this investigation, this Department finds the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged violation occurred. Report emailed to the facility.

****LPA Lund amended the complaint to put signature not available*******

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2026

LIC9099 (FAS) - (06/04)

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