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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604083
Report Date: 01/14/2025
Date Signed: 01/16/2025 08:43:13 AM

Document Has Been Signed on 01/16/2025 08:43 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:MONTERA, THEFACILITY NUMBER:
374604083
ADMINISTRATOR/
DIRECTOR:		EMILY TURNERFACILITY TYPE:
740
ADDRESS:5740 LAKE MURRAY BLVDTELEPHONE:
(619) 832-2599
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY: 225CENSUS: 183DATE:
01/14/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:08 PM
MET WITH:Sanjay Kabadi Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced case management visit.  LPA was granted entry into the facility by Sanjay Kabadi Executive Director with whom she disclosed the purpose of the visit. 
 
The case management visit is related to the complaint control number 08-AS-20240909102606.
During a complaint investigation, the LPA discovered the facility Executive Director, who is a mandated reporter, had knowledge of an incident that requiring reporting to the local ombudsman, the Department, and local law enforcement. Based on interviews, and records reviewed, it was determined the facility did not meet the required reporting requirements. Per California Code of Regulations, Title 22, LIC9102 Technical violation. A Plan of Correction was jointly formulated with the facility administrator.

An exit interview was conducted with Executive Director, to whom a copy of the report and Licensee/Appeal Rights (LIC 9058 03/22) were provided to.
 
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Amy Domingo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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