374603724-12-29-2025-08-AS-JROO-DPY259-20260102160510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603724
Report Date: 12/29/2025
Date Signed: 12/29/2025 01:58:47 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/13/2021 and conducted by Evaluator Becky Kennedy

COMPLAINT CONTROL NUMBER: 08-AS-20210913092229

FACILITY NAME:	MONARCH COTTAGES LA JOLLA		FACILITY NUMBER:	374603724
ADMINISTRATOR:	RISA BISHOP		FACILITY TYPE:	740
ADDRESS:	7630 FAY AVENUE		TELEPHONE:	(858) 924-8530
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	52	CENSUS:	DATE:	12/29/2025
		UNANNOUNCED	TIME BEGAN:	01:09 PM
MET WITH:			TIME COMPLETED:	01:55 PM

ALLEGATION(S):

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Staff handled resident in a rough manner.
Staff did not respond timely to resident’s call button.
Facility did not provide adequate incontinence care for resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Becky Kennedy conducted an unannounced complaint investigation visit to the facility to deliver findings regarding the above allegations. LPA was granted entry to the facility after identifying herself. LPA met with Risa Jester, Executive Director and explained the reason for the visit.

The Department’s investigation consisted of LPA observations, a review of facility and outside source records, and interviews of internal and outside sources.

It was alleged that staff handled Resident 1 (R1) in a rough manner. The allegation was that a staff member pulled an item from a resident’s hand. There was no specific object identified in the allegation. Interviews with internal and external sources did not reveal any confirming evidence that R1 or any other resident was treated in a rough manner. This allegation is Unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jerry Romero
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025

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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Control Number 08-AS-20210913092229

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: MONARCH COTTAGES LA JOLLA	FACILITY NUMBER: 374603724
	VISIT DATE: 12/29/2025

NARRATIVE

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It was further alleged that staff did not respond timely to Resident 2’s (R2) call button in a timely manner.
The investigation revealed that the facility care providers all have radios and they check with each other to see who is available to provide care when a call button is pushed. The MedTech on duty is responsible for monitoring the situation and will respond if all care providers are assisting other residents. It was also revealed that almost all calls are responded to from immediately to 10 minutes. On a rare occasion when all caregivers and the MedTech are busy assisting other residents, it might be 15 minutes before care can be delivered. No records were available to confirm response times. “Timely manner” is not specifically defined, however the preponderance of evidence revealed during the investigation did not confirm that response times are of regular concern or that any specific incident was egregious or endangered any resident’s wellbeing. This allegation is Unsubstantiated.

It was lastly alleged that the facility did not provide adequate incontinence care for R2. Interviews with internal and external sources revealed that residents are checked every two hours to assess their toileting needs. Excluding the above allegation no concerns regarding resident incontinence care were revealed during the investigation. A review of documents did not reveal any skin breakdown for R1, or other indications of inadequate incontinence care. This allegation is Unsubstantiated.
Based on the evidence obtained during the complaint investigation, the above allegations are UNSUBSTANTIATED, meaning the preponderance of evidence standard was not met.

An exit interview was conducted with Risa Jester, Executive Director; a copy of this report and Licensee's Rights (LIC9058) were provided.

SUPERVISORS NAME: Jerry Romero
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025

LIC9099 (FAS) - (06/04)

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