374604083-9-28-2022-08-AS-SJAB-CJRQJZ-20220930121330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 09/27/2022
Date Signed: 09/28/2022 08:50:58 AM

Unsubstantiated

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
06/05/2020 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20200605124138

FACILITY NAME:	MONTERA, THE		FACILITY NUMBER:	374604083
ADMINISTRATOR:	JUDITH PIERFAX		FACILITY TYPE:	740
ADDRESS:	5740 LAKE MURRAY BLVD		TELEPHONE:	(619) 832-2599
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	225	CENSUS: 187	DATE:	09/27/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Executive Director (ED) Emily Turner		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Uncleared adults providing care to residents.
Staff not meeting residents needs in a timely manner.
Facility has bed bugs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver findings regarding the above-mentioned allegations. LPA met with ED Turner, identified herself, and stated the purpose of the visit.

The Department’s investigation consisted of a resident records and facility records review. It also included outside source interviews.

It was alleged Facility employed uncleared staff who provided care to residents. A review of facility records and outside source records revealed no uncleared staff working at the facility.

It was also alleged facility staff did not meet residents needs in a timely manner. Residents are provided pendants that will alert staff when seeking a caregiver for assistance by either pressing a button or using a pull cord.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

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-20200605124138

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: 09/27/2022

NARRATIVE

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A review of available facility records during 2020 revealed an average response time of 6 minutes. Interviews with residents revealed no issues with services at the facility, and interviews outside sources also revealed there were no major issues with service provision to residents in care.

It was also alleged the facility had bed bugs. A facility records review and outside source (OS1) interview revealed the facility had a contract with a pest control agency that serviced the property on a monthly basis. A record review and interview with OS1 revealed the facility was treated for bed bugs in April and July of 2020. The agency also provided preventative treatment to mitigate the spread of bed bugs throughout the facility. Based on Title 22 Code of Regulations the facility remained in compliance by having the facility treated for bed bugs.

Based on interviews conducted, observations made, and pertinent records reviewed, it was determined the above allegations were determined to be unsubstantiated. An unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred. There were no deficiencies cited during today’s visit.

An exit interview was conducted with ED Turner and a copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) will be provided to ED Turner. Signature on this report confirms receipt of the documents.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC9099 (FAS) - (06/04)

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