374604083-4-30-2025-08-AS-APAO-DH5QEY-20250529120707

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 04/22/2025
Date Signed: 04/30/2025 04:22:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
01/08/2025 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20250108085222

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: 189	DATE:	04/22/2025
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Aileen Spence Associate Executive Director		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Facility staff did not ensure resident received medications as prescribed.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver investigative findings. LPA Domingo was granted entry into the facility and met with Associate Executive Director Aileen Spence, to whom LPA disclosed the reason for the visit.

On January 8, 2025 Community Care Licensing (CCL) received a complaint alleging staff did not ensure resident received medications as prescribed.

Review of training records showed that every direct care staff who was engaged in passing medications to residents initially received at least eight (8) hours of formal classroom training on the topic of medication administration, taught by qualified subject-matter experts.

[CONTINUED ON LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

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-20250108085222

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: MONTERA, THE	FACILITY NUMBER: 374604083
	VISIT DATE: 04/22/2025

NARRATIVE

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[CONTINUED FROM LIC 9099]

Interviews of 5 of 5 direct care staff also showed that each person received multiple days of on-the-job practice and skills observation with a more experienced co-worker, before they were allowed to independently pass medications to clients. Interviews of the staff and clients in care revealed nothing to suggest that staff did not ensure resident received medications as prescribed.

LPA also observed a medication pass and quizzed direct care staff on their understanding of both medication related terminology and best practices for accurate medication delivery; all staff interviewed displayed knowledge for safe and effective job performance, as far as medication assistance was concerned. Review of the clients’ MARs showed: Staff were consistent in documenting routing medications given. Staff also met documentation requirements as it related to as needed (PRN) medications.

Interviews of 5 of 5 Resident showed there have not been any occurrence of staff not providing medications as prescribed. The Med Techs are very through and contentious of their job duty and they preform them very well.

LPA reviewed 5 of 5 resident medication logs with no errors or missed medications. The records showed proper medication prescribed were given to the residents.

Based on record reviewed and interviews, a preponderance of evidence does not exist to show that staff did not ensure resident received medications as prescribed. Therefore the allegation is Unsubstantiated, and no deficiencies were cited for them.

An exit interview was conducted with AED Aileen Spence, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

LIC9099 (FAS) - (06/04)

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