306005338-7-12-2026-22-AS-LRIS-DWNTUS-20260805150250

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005338
Report Date: 07/09/2026
Date Signed: 07/12/2026 10:39:36 AM

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
09/28/2021 and conducted by Evaluator Albert Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210928095445

FACILITY NAME:	STEADFAST WESTERN AVE		FACILITY NUMBER:	306005338
ADMINISTRATOR:	PENALOSA, FRANCINE		FACILITY TYPE:	735
ADDRESS:	6052 WESTERN AVE		TELEPHONE:	(310) 809-3427
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90620
CAPACITY:	6	CENSUS: 6	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	05:00 PM
MET WITH:	Susie Abella		TIME COMPLETED:	08:30 PM

ALLEGATION(S):

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Staff shouting at clients
Personal Rights

INVESTIGATION FINDINGS:

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On 07/9/2026, Licensing Program Analyst (LPA) Albert Johnson conducted a complaint visit via telephone call regarding the complaint allegations above.

Licensing investigated the allegation that staff and residents engaged in constant shouting and screaming and that abuse was suspected. The alleged incident occurred five years ago, and information necessary to corroborate or refute the allegation is no longer reasonably available.

The department has key limitations including
• No retained documentation from 2021
• No identifiable victims or witnesses
• No ability to re-contact the RP
• No staff available from the relevant period • No contemporaneous records to confirm or dispute the allegation,

The findings are unsubstantiated.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Emerita Curiel
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

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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