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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604083
Report Date: 11/04/2024
Date Signed: 11/04/2024 03:35:49 PM

Document Has Been Signed on 11/04/2024 03:35 PM - 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: 225TOTAL ENROLLED CHILDREN: 0CENSUS: 192DATE:
11/04/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:12 AM
MET WITH:Robin Mendez Director of Health ServicesTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced collateral visit. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Robin Mendez, Director of Health Services. 

During today's visit, LPA interviewed staff and outside sources for a complaint investigation lodged against the facility licensed by Community Care Licensing.

An exit interview was conducted with Robin Mendez, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 03/22) were provided via hard copy.
Simon JacobTELEPHONE: (619) -76-2306
Amy DomingoTELEPHONE: 619-767-2301
DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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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