374604083-12-28-2022-08-AS-IESA-CMM38D-20221230170123

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 12/28/2022
Date Signed: 12/28/2022 03:47:46 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
09/06/2022 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20220906102039

FACILITY NAME:	MONTERA, THE		FACILITY NUMBER:	374604083
ADMINISTRATOR:	EMILY TURNER		FACILITY TYPE:	740
ADDRESS:	5740 LAKE MURRAY BLVD		TELEPHONE:	(619) 832-2599
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	225	CENSUS: 184	DATE:	12/28/2022
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Emily Turner Executive Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Licensee did not meet residents’ needs
Licensee did not maintain hot water temperature as required

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver investigative findings on the above listed complaint allegations. LPA Domingo met with Executive Director Emily Turner and discussed the purpose of the visit.

The Department’s investigation consisted of records review, interviews with staff, residents, family members and outside sources.

It was alleged that the licensee did not meet residents’ needs, specifically when a resident (R1) requested assistance via the pendant system and there was no response. Investigation revealed the facility has a pendant system that allows residents to request assistance by pressing a button. The system alerts caregivers to come to a specific room to check on the resident. A review of pendant activation records

Continue on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 767-2330
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022

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-20220906102039

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: 12/28/2022

NARRATIVE

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revealed the average response time was 16 minutes. Interviews with staff confirmed how the pendant system works and staff revealed that the average can vary depending on how many calls are received, the location of the call, and the number of staff on shift. Staff interviewed advised that they check on residents generally every 2 hours if not sooner, even if the resident activates the pendant or not. The day in question, pendant records revealed R1 activated the pendant four times, and the average response time was 5 minutes (range of 1 minute - 11 minutes). Interviews with residents corroborated that residents call for assistance by using their pendants and/or call lights. Residents interviewed did not express any concerns regarding their care or needs. Interviews with multiple outside sources showed they do not have any concerns regarding staff not meeting residents’ needs.

It was alleged that the licensee did not maintain hot water temperature as required, specifically in Building B. On September 4, 2022, the Executive Director was notified by the Maintenance Director that the boiler in Building B was not functioning properly. On the same day, the Executive Director called a professional plumbing company, and they inspected the boiler the same day. The plumbing company ordered parts and returned on September 6, 2022, to replace the ignition switch. After doing so, the plumbing company discovered the boiler was still malfunctioning and needed to be replaced. On September 7, 2022, a new boiler was delivered and installed and was fully operational. On September 4, 2022, the Executive Director used the facility mass communication system to notify residents, responsible parties, and family members of the issue with the boiler in Building B. Two alternative shower rooms in Building C were made available to residents in Building B. Interviews with staff and family members corroborated that residents were made aware of the two shower rooms available in Building C while the boiler was being replaced. Interviews with residents confirmed there were no concerns regarding the availability of shower rooms and hot water during the days in question. Interviews with multiple outside sources showed they had no concerns regarding the hot water issue or lack of showers.

The Department has investigated the above allegations. Based on evidence obtained through interviews and records reviewed, the allegations are determined as unsubstantiated as the Department could not meet the preponderance of the evidence standard.

An exit interview was conducted with Executive Director, Emily Turner and a copy of this report and Licensee/Appeal Rights (LIC 9058 03/22) were provided to Executive Director, Emily Turner whose signature below confirms receipt of documents.

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 767-2330
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022

LIC9099 (FAS) - (06/04)

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