<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004293
Report Date: 06/07/2026
Date Signed: 06/07/2026 08:43:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/25/2021 and conducted by Evaluator Albert Johnson
COMPLAINT CONTROL NUMBER: 22-AS-20210125123335
FACILITY NAME:STEVENS ADULT RESIDENTAL CARE HOMEFACILITY NUMBER:
306004293
ADMINISTRATOR:ROMMEL MENDOZAFACILITY TYPE:
735
ADDRESS:106 W. STEVENS AVENUETELEPHONE:
(714) 662-5717
CITY:SANTA ANASTATE: CAZIP CODE:
92707
CAPACITY:6CENSUS: 2DATE:
06/07/2026
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Winne GrecoTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff yelling at clients
Staff failed to assist client with personal hygiene
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/07/2026, Licensing Program Analyst (LPA) Albert Johnson conducted a complaint visit via telephone call regarding the complaint allegations above.
Current census is 2. An interview with W. Greco current Administrator was conducted.

The Department investigated the allegation that staff failed to assist the Client with toileting needs and yelled at the Client on 01/13/21. The incident occurred over five years ago, and information necessary to corroborate or refute the allegation is no longer reasonably available. Key evidence including staff statements, logs, and internal documentation could not be obtained due to the age of the incident and staff turnover.

Although the RP provided a detailed account, there is insufficient evidence to meet the preponderance standard required to substantiate the allegation. No independent documentation or witness statements were available to confirm that staff failed to assist the Client with changing soiled clothing or that the Home Manager yelled at the Client.

The allegations are Unsubstantiated
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Emerita Curiel
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2026
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 1