336426330-11-14-2024-18-AS-TDAN-DBA2KZ-20241122162847

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426330
Report Date: 11/14/2024
Date Signed: 11/14/2024 02:20:01 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2021 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20211223160102

FACILITY NAME:	VISTA MONTANA SENIOR LIVING		FACILITY NUMBER:	336426330
ADMINISTRATOR:	RAQUEL MONTES		FACILITY TYPE:	740
ADDRESS:	155 N. GIRARD ST.		TELEPHONE:	(951) 658-2274
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	120	CENSUS: 81	DATE:	11/14/2024
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Raquel Montes, General Manager		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff is unlawfully evicting the residents while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javina George made an unannounced visit to deliver findings for the allegation listed above. LPA met with General Manager Raquel Montes where LPA explained the purpose of the visit and the elements of the allegation. The allegation was investigated, the investigation consisted of observations, interviews, records review.

On 12/31/21 Community Care Licensing received a complaint alleging staff is unlawfully evicting the residents while in care. Regarding the allegation of staff is unlawfully evicting the residents while in care. Resident #1 (R1) and Resident #2 (R2) were issued an eviction notice on 12/2/21 due to failure to pay rent and services. Per records review conducted LPA observed for R1 and R2 to still have an outstanding balance that ended up being written off. LPA reviewed an email dated 07/28/21 referencing R1 and R2 monthly rate and how they had not paid the full amount of rent after having moved into the facility on 7/21/21-R2 and 7/15/21-R1. Per General Manager Raquel Montes, this continued to be a reoccurring theme throughout R1 and R2s tenancy. Additionally Raquel stated that the monthly invoices are hand

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 217-3970
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

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 4

Control Number 18-AS-20211223160102

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VISTA MONTANA SENIOR LIVING	FACILITY NUMBER: 336426330
	VISIT DATE: 11/14/2024

NARRATIVE

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which detailed the November 2024 delivered to residents four (4) days before the first of each month. LPA was unable to interview R1 and R2. R1 moved out on 12/14/21 and R2 moved out 12/10/21.

Based on observations, interviews and records review the allegation of staff is unlawfully evicting the residents while in care is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was provided to Raquel Montes, General Manager.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 217-3970
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2021 and conducted by Evaluator Javina George

COMPLAINT CONTROL NUMBER: 18-AS-20211223160102

FACILITY NAME:	VISTA MONTANA SENIOR LIVING		FACILITY NUMBER:	336426330
ADMINISTRATOR:	RAQUEL MONTES		FACILITY TYPE:	740
ADDRESS:	155 N. GIRARD ST.		TELEPHONE:	(951) 658-2274
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	120	CENSUS: 81	DATE:	11/14/2024
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Raquel Montes, General Manager		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Residents are being financially abused while in care
Residents are being mishandled while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javina George made an unannounced visit to deliver findings for the allegations listed above. LPA met with General Manager Raquel Montes where LPA explained the purpose of the visit and the elements of the allegations. The allegations were investigated, the investigation consisted of observations, interviews, records review.

On 12/31/21 Community Care Licensing received a complaint alleging residents are being financially abused while in care and residents are being mishandled while in care. Regarding the allegation of residents are being financially abused. It was alleged that Resident #1(R1) and Resident #2 (R2) were being financially abused by the facility staff as they were informed that there was an outstanding rent balance, and that the invoices were not provided. Per an interview with General Manager Raquel Montes the facility handles or is the designated payee for Twelve (12) residents but denied being the payee for both R1 and R2. Additionally Raquel shared that R1 and R2 were not set up on any electronic form of payments and would pay in cash. LPA reviewed the - Record Of Client's/Resident's Safeguarded Cash Resources for the current residents

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 217-3970
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 18-AS-20211223160102

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VISTA MONTANA SENIOR LIVING	FACILITY NUMBER: 336426330
	VISIT DATE: 11/14/2024

NARRATIVE

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payments and would pay in cash. LPA was unable to interview R1 and R2. R1 moved out on 12/14/21 and R2 moved out 12/10/21. LPA reviewed the - Record Of Client's/Resident's Safeguarded Cash Resources for the current residents check being deposited and, rent being deducted and P& I being issued. Per interviews conducted with residents there were no concerns with their finances, and that the money is given when expected. Based on interviews and records review the allegation of Residents are being financially abused while in care is unsubstantiated.

Regarding the allegation of Residents are being mishandled while in care. It was alleged the residents are being mishandled with in care. LPA conducted interviews with residents which revealed that there are not any concerns with being mistreated or mishandled by staff. Staff are speaking to residents with dignity and respect and using appropriate voice tones and language. Based on interviews the allegation is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted and a copy of this report was provided to Raquel Montes, General Manager.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 217-3970
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4