374604083-6-12-2026-08-AS-SJAB-DVCSUY-20260624141155

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 06/12/2026
Date Signed: 06/12/2026 11:42:57 AM

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
12/01/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20251201104143

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:	06/12/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Executive Director Karinna Topete		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Neglect to resident resulting in serious bodily injury.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA Rodgers identified herself to Executive Director Karinna Topete and explained the purpose of the visit.

During the investigation, the Department conducted facility staff interviews and reviewed medical and facility records.

On December 1, 2025, Community Care Licensing (CCL) received a complaint alleging that resident #1 (R1) sustained a serious injury from a suspected unwitnessed fall due to neglect/lack of supervision.

(continued on LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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-20251201104143

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: 06/12/2026

NARRATIVE

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(Continued from LIC9099)

Department record review and interviews revealed that on 11/25/2025 at approximately 1420 hours, staff found R1 on the floor in R1’s room next to a recliner. R1 reported standing up from the chair, losing balance, and falling. R1 stated that R1 hit the back of the head and experienced pain. Records further reveal R1 was transported to the hospital for evaluation and returned later the same day.

Further records and interviews review revealed that on 11/29/2025 at approximately 0211 hours, staff found R1 sitting in a wheelchair holding the right arm and appearing to be in pain. When staff asked R1 if a fall occurred, R1 denied falling. Staff observed bruising and swelling to R1’s right arm that increased over time and arranged for R1 to be transported out of the facility for medical evaluation. Records review and staff interviews revealed R1 was last observed in bed at 2220 hours and that routine rounds were conducted at 0200 hours. Shortly thereafter, R1 was heard awake and found sitting in the wheelchair. No staff witnessed a fall, and staff could not determine how the injury occurred. Outside-source medical records confirmed R1 sustained a right arm fracture and presented with significant pain. Records did not establish the mechanism of injury.

Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Karinna 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: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

LIC9099 (FAS) - (06/04)

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