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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004293
Report Date: 07/12/2026
Date Signed: 07/15/2026 06:40:25 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
01/11/2023 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230111132612
FACILITY NAME:STEVENS ADULT RESIDENTIAL 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:
07/12/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Winnie Greco TIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not maintain required food supplies on the premises.
Licensee misused funds.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/12/2026, Licensing Program Analyst (LPA) Albert Johnson conducted a complaint visit via telephone call regarding the complaint allegations above.

Because the allegation originated in 2023, the significant passage of time makes it unreasonable to determine whether the alleged conditions existed or whether the purchases referenced by the RP occurred. Current records and interviews reflect conditions long after the reported date, limiting the ability to verify the RP’s observations. Based on interviews, attempted follow-up, records reviewed, and the substantial time elapsed since the alleged incident, there is not a preponderance of evidence to support the allegation of insufficient food or misuse of funds.

The allegation is therefore UNSUBSTANTIATED.

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

DATE: 07/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2026
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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