374604083-5-10-2023-08-AS-SJAB-CSCRWC-20230531132253

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 05/10/2023
Date Signed: 05/10/2023 05:06:50 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
10/27/2020 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20201027113455

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: 188	DATE:	05/10/2023
		UNANNOUNCED	TIME BEGAN:	03:10 PM
MET WITH:	Emily Turner, Executive Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Insufficient staff to meet residents needs.
Residents' hygiene needs are not being met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with Emily Turner, Executive Director to discuss the purpose of the visit.

LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that there was insufficient staff to meet residents needs. According to facility records a 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. Interviews revealed that there was staff at the facility to handle the residents and the duties of the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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-20201027113455

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: 05/10/2023

NARRATIVE

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It was alleged that the residents' hygiene needs are not being met. Interviews revealed normal protocol for caregivers were required to complete full body checks during residents’ showers and document their findings on the residents’ personal care sheets. Residents receive the personal care that they pay for in their care plans. Residents receive showers 2-3 times a week and there are times when residents refuse their showers. Interviews revealed that the staff assist with showers and have not heard of any residents complaining of not getting their showers.

Due to lack of corroborating evidence obtained from interviews, records review, and observation the complaint allegations are unsubstantiated.

An exit interview was conducted with Emily Turner, Executive Director and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) were provided at the conclusion of the visit.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC9099 (FAS) - (06/04)

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