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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 03/04/2022
Date Signed: 03/07/2022 07:31:46 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/12/2021 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20211112135359
FACILITY NAME:MONTERA, THEFACILITY NUMBER:
374604083
ADMINISTRATOR:MORGAN CADMUSFACILITY TYPE:
740
ADDRESS:5740 LAKE MURRAY BLVDTELEPHONE:
(619) 832-2599
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:225CENSUS: 179DATE:
03/04/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Executive Director Morgan CadmusTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Licensee does not have emergency evacuation chairs in stairwells.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit, to deliver a finding regarding the above prior complaint allegation. LPA was welcomed by and identified himself to concierge receptionist Keyla Frias. LPA then met with and discussed the purpose of the visit with Executive Director Morgan Cadmus.

The complaint was filed on November 12th, 2021. CDSS’s investigation consisted of an unannounced tour of the facility, physical inspection of and manipulation of stairwell evacuation chairs, and interviews of staff from various job positions.

The complainant alleged that license did not place emergency evacuation chairs in its stairwells. On November 18th, 2021, LPA personally inspected each stairwell in each building comprising the facility’s campus. Inside every stairwell was at least one evacuation chair manufactured by Evacuscape (a U.K.-based company). All chairs were in good working condition, and able to be quickly opened and used by any layperson without the use of a key. [CONTINUED ON LIC 9099-C]
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Tellez LizzetteTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang NguyenTELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
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 2
Control Number 08-AS-20211112135359
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: MONTERA, THE
FACILITY NUMBER: 374604083
VISIT DATE: 03/04/2022
NARRATIVE
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[CONTINUED FROM LIC 9099]

LPA observed dust on the protective jacket covers of the chairs, indicating they were not recently installed. Multiple staff interviews corroborated that these evacuation chairs were not recently installed, but had been in place since before July 1st, 2019, as was required by California Health & Safety Code Section 1569.695(f)(1).

Based on observations and interviews, the above allegation was determined to be unfounded, meaning the allegation was false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the allegation. An exit interview was conducted with Cadmus, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided via E-mail.
SUPERVISOR'S NAME: Tellez LizzetteTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang NguyenTELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2