374604083-9-25-2023-08-AS-SJAB-CW4M9Z-20230928092534

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 09/25/2023
Date Signed: 09/25/2023 09:40:03 AM

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
02/17/2023 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20230217090736

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:	09/25/2023
		UNANNOUNCED	TIME BEGAN:	08:46 AM
MET WITH:	Melody Veal Business Office Manager		TIME COMPLETED:	10:47 AM

ALLEGATION(S):

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Staff are not providing personal hygiene assistance to resident in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted a complaint investigation visit to deliver findings for the above allegation. LPA Domingo met with Melody Veal Business Office Manager and Executive Director Emily Turner on the phone and shared the findings.

The Department’s investigation consisted of record reviews, interviews with staff, and outside sources.

It was alleged that staff were not providing personal hygiene assistance to resident in care. Outside Source 1 (OS1) was interviewed and stated that there has been no observation or reports of staff not providing personal hygiene assistance to resident in care. Resident 1 (R1) was interviewed and R1 stated that there have been no instances of staff not providing personal hygiene care when needed. R1 stated that the staff are very attentive.

[Continue LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2023

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-20230217090736

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: 09/25/2023

NARRATIVE

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[Continued from LIC9099]

Resident 2 (R2) was interviewed and R2 had no concerns regarding personal hygiene care from staff. Resident 3 (R3) did not verbalize any concerns regarding personal hygiene care from staff. Outside Source 2 (OS2) was interviewed and there have been no concerns regarding personal care from the staff. Outside Source 3 (OS3) was interviewed and there are no concerns regarding care from staff. LPA Domingo observed the residents during activities and all residents were well groomed with no odors. Review of records revealed there was no staffing shortage. Staff 1 (S1) was interviewed and S1 stated that there were not any staff shortage. Staff 2 (S2) was interviewed and there was no concerns with staffing. Staff 3 (S3) was interviewed and there were no concerns regarding the facility having enough staff to assist the residents.

The Department has investigated the allegations listed above. Based on evidence obtained, including interviews and records reviewed, the above allegation are determined to be unsubstantiated as the Department could not meet the preponderance of the evidence standard. An exit interview was conducted with Business Office Manager and a copy of this report and Licensee/Appeals Rights (LIC 9058 03/22) were provide.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2023

LIC9099 (FAS) - (06/04)

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