374604083-9-25-2022-08-AS-SJAB-CJRSTM-20220930140947

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 09/23/2022
Date Signed: 09/25/2022 07:27:32 PM

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
09/17/2020 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20200917134248

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:	09/23/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Executive Director Emily Turner		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Insufficient staff to meet residents needs.
Facility is falsifying documents.
Facility lacks adequate supplies.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegations. LPA Correia met with Executive Director Emily Turner to whom was explained the purpose for the visit.

The Department’s investigation consisted of staff, resident, and outside source interviews, and a review of facility and outside source records.

It was alleged the facility had insufficient staffing to meet resident’s needs. A facility records review revealed during March 10, 2020 and December 31, 2020 the facility utilized 34 caregivers contracted through an outside agency to assist with staffing needs during the peak of the pandemic. A review of the outside agency invoices to the facility corroborated that the facility utilized an outside agency to meet staffing requirements.

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: 09/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2022

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-20200917134248

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: 09/23/2022

NARRATIVE

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It was alleged facility staff were asked to falsify documentation regarding resident service provision. Interviews with residents residing at the facility during the time of the allegation, revealed no issues with services received at the facility. Interviews with outside sources also revealed no issues regarding service provision for the residents in care.

It was also alleged the facility lacked adequate supplies. A facility record review revealed documentation of an adequate amount of supplies ordered by the facility from January of 2018 though July of 2022. Community Care Licensing was also in consistent communication with facility staff directly prior to the allegation ensuring the facility had adequate supplies to meet the needs of the residents.

Due to lack of corroborating evidence, the finding regarding the above allegations were established to be unsubstantiated. This finding means although the allegations may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

LPA Correia conducted an exit interview with ED Turner. ED Turner will be provided a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) and signature on this report acknowledges receipt of the rights.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2022

LIC9099 (FAS) - (06/04)

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