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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604083
Report Date: 03/07/2025
Date Signed: 03/10/2025 09:39:56 AM

Document Has Been Signed on 03/10/2025 09:39 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: 188DATE:
03/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Aileen Spence Associate Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Associate Executive Director Aileen Spence.

Today's visit was in response to an LIC624 Incident Report, which licensee self submitted to the Community Care Licensing Department San Diego Regional Office on March 5, 2025. The LIC 624 report received on March 5, 2025 described a resident being Absent without leave (AWOL). At around 2:30 PM, Resident #1 (R1), who lives in the facility’s secured memory care unit, was briefly AWOL (Absent without leave). [See LIC811 Confidential Names List for a description of person identifiers used in this report.] Staff #1 (S1) described how the facility managers and Medicine Technician (Med Tech) followed the protocol of physically searching for the resident with a photo of the resident. All the nearby apartment complex where shown a photo of the resident by the managers that went out looking for R1. After about twenty (20) minutes, one of the apartment complex resident walked R1 back to the facility because they were made aware of R1's AWOL a few minutes prior to seeing R1. R1 was AWOL for approximately 20 minutes. Review of records showed R1's responsible party and MD were both notified of the AWOL and return.

During today’s visit, LPA briefly toured the facility and performed a welfare check, verifying that R1 was indeed unharmed/uninjured. LPA also was shown the new alarms on the two (2) gates that lead to the outside of the facility. The new alarmed gates were placed on March 7, 2025. LPA also collected copies of pertinent facility records, and interviewed relevant staff.

No deficiencies were observed or cited on this date. An exit interview was conducted, and a copy of this report and Licensee Rights LIC 9058 (03/22)  were left with Associate Executive Director Aileen Spence, whose signature on this form confirms receipt of these documents.

Simon Jacob
Amy Domingo
DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
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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