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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004293
Report Date: 07/13/2026
Date Signed: 07/13/2026 12:22:03 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
04/10/2023 and conducted by Evaluator Jenifer Tirre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230410153644
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:
07/13/2026
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Administrator Winnie GrecoTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Facility is falsifying personnel records.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jenifer Tirre, met with Administrator Winnie Greco for the purpose of delivering findings for the above allegations. The investigation consisted of records obtained and interviews conducted. On April 10, 2023, the department received allegations that Facility is falsifying personnel records. The investigation was completed by the department and revealed the following:

Per record review Department reviewed Personnel records for Cardio Pulmonary Resuscitation (CPR) plus First Aid and Crisis Prevention Institute (CPI) certification. Department reviewed records for Ten (10) employees between the time complaint was initiated to current date. All ten records were verified through Agency online portals for either American Red Cross and National CPR Foundation for CPR/ and First Aid services. Records for Crisis Prevention Institute are verified current and Instructor certificate received and verified valid. Per file review eight of ten staff members records are current and no duplicated Identification numbers or certificates. Two of Ten staff members no longer work for facility however last certificates on file were valid at time issued.
CONTINUED ON 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
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 2
Control Number 22-AS-20230410153644
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: STEVENS ADULT RESIDENTIAL CARE HOME
FACILITY NUMBER: 306004293
VISIT DATE: 07/13/2026
NARRATIVE
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Per investigation interviews three of three staff stated that they have taken training online and in person for CPR First Aid and Crisis Prevention and had provided copies of current cards. Staff members stated their records are true and not falsified.

Based on information provided from investigation, the allegation Facility is falsifying personnel records was deemed UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur as reported.



An exit interview was conducted with Administrator Winnie Greco and copy of report was provided.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2