374604083-4-8-2026-08-AS-SJAB-DSZP2B-20260410105541

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 04/08/2026
Date Signed: 04/08/2026 01:03:50 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
11/24/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20251124094432

FACILITY NAME:	MONTERA, THE		FACILITY NUMBER:	374604083
ADMINISTRATOR:	EMELY TURNER		FACILITY TYPE:	740
ADDRESS:	5740 LAKE MURRAY BLVD		TELEPHONE:	(619) 832-2599
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	0	CENSUS: 175	DATE:	04/08/2026
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Executive Director Karinna Topete		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff mishandled a resident's medication
Staff did not following infection control requirements

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Dir.ector Karinna Topete

On November 24, 2025, Community Care Licensing Division (CCLD) received a complaint alleging staff mishandled a resident’s medication and staff did not follow infection control requirements.

The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, interviews with the reporting party, outside source interviews, and records review.

(Continued on LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

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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Control Number 08-AS-20251124094432

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: MONTERA, THE	FACILITY NUMBER: 374604083
	VISIT DATE: 04/08/2026

NARRATIVE

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(Continued from LIC9099)

Regarding the allegation staff mishandled a resident’s medication. More specifically, the reporting party (RP) alleged that staff brought two medication pills to the Resident #1(R1) instead of one. Department staff interviews revealed staff described following EMAR procedures and stated they administer medications according to the physician’s order and documented schedule. Staff #1(S1) denies a medication error around the time of the alleged error. Department records review revealed R1's physician’s orders reflecting the resident’s prescribed regimen. EMAR documentation was also reviewed for dates surrounding November 21, 2025 and no documented medication error was noted. Department LPA observations revealed medication carts were organized and medications were stored appropriately at the time of visit. LPA also revealed EMAR system was accessible, functioning and medication for R1 has been documented by staff.

Regarding the allegation that staff did not follow infection control requirements. More specifically, RP alleged that Staff #1(S1) used a tissue and needed direction to wash their hands from the RP. Department staff interviews revealed multiple staff consistently reported they wash their hands before and after medication assistance, they discard tissues immediately after use, they wash their hands often and Staff reported they had not observed coworkers keeping tissues on their body in an way that may cause infection control issues. Department outside source interview revealed multiple witness to infection control practices by staff members. Department records review revealed Facility Infection Control Policy and staff training records confirming annual and task specific infection control training. LPA observations revealed staff observed performing hand hygiene and using gloves appropriately during the LPA visits and PPE supplies available and accessible.

Based on interviews, direct LPA observations, and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred. Therefore, both allegations are UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Karinna Topete, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058, 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

LIC9099 (FAS) - (06/04)

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