374604083-4-8-2026-08-AS-SJAB-DT5VFW-20260414162438

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 04/08/2026
Date Signed: 04/08/2026 01:04:45 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
01/13/2026 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20260113212218

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 are not following resident's toileting care plan
Staff do not provide resident adequate food service or assistance
Staff do not keep resident's room clean, sanitary and free from odor
Staff do not ensure resident has clean laundry

INVESTIGATION FINDINGS:

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

On January 13, 2026, Community Care Licensing Division (CCLD) received a complaint alleging that above mentioned allegations. The Department’s investigation consisted of unannounced facility visits, interviews with staff and outside sources, and a review of records.

(Continued from LIC9099)

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-20260113212218

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 on LIC9099)
Regarding the allegation that staff are not following the resident’s toileting care plan. More specifically, the concern involved whether Resident #1 (R1) was receiving regular toileting and incontinence care. Department record review revealed hospice and nursing documentation showed that R1 received full assistance with toileting, wore incontinence briefs, and received bowel care interventions as needed. They further revealed coordination between hospice and facility staff regarding bowel movements, constipation management, and hygiene needs. Department interviews with internal and external sources support staff consistently assisting with toileting care needs for residence.

Regarding the allegation that staff do not provide resident adequate food service or assistance.
More specifically, the concern related to whether R1 was being fed appropriately and consistently. Department record review revealed hospice staff and facility staff frequently documented R1’s meal intake. Outside Source records review and interviews with facility staff reveal that facility caregivers were assisting with feeding, offering supplements, and reporting changes in appetite throughout hospice decline.

Regarding the allegation that staff do not keep the resident’s room clean, sanitary and free from odor.
More specifically, it was alleged that R1’s room was unclean or malodorous. Department observations and record review revealed no documented concerns from outside visiting clinicians regarding odors or sanitation, and department observations during the many inspections showed the room was clean and odor free.

Regarding the allegation that staff do not ensure the resident has clean laundry. More specifically, the concern involved whether R1 had regular access to clean clothing and linens. Records and outside source interviews revealed that outside visiting sources consistently observed R1 to be clean, groomed, and appropriately dressed, with no concerns documented regarding laundry or linens. Department interviews with external sources support staff consistently assisting with laundry as well as cleaning of the individual residents rooms.

Based on interviews, direct LPA observations, and records review, interviews with internal and external sources a preponderance of evidence does not exist to prove that the alleged violations occurred. Therefore, the allegations are UNSUBSTANTIATED.
An exit interview was conducted with Executive Director Topete, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 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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