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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 07/08/2025
Date Signed: 07/09/2025 08:11:45 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
09/06/2023 and conducted by Evaluator Amy Domingo
COMPLAINT CONTROL NUMBER: 08-AS-20230906084906
FACILITY NAME:MONTERA, THEFACILITY NUMBER:
374604083
ADMINISTRATOR:EMILY TURNERFACILITY TYPE:
740
ADDRESS:5740 LAKE MURRAY BLVDTELEPHONE:
(619) 832-2599
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:225CENSUS: 183DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Gerrit Hoevers Director of Environment ServiceTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
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9
Staff are not meeting residents' needs due to inadequate staffing.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to the Executive Director.

The Department’s investigation consisted of a facility and outside records review and interviews with staff, residents, and outside sources.

It is alleged that on or about September 6, 2023, staff are not meeting residents' needs due to inadequate staffing. Staff 1 (S1) was interviewed and provided a statement that when a family member requested an adult brief change, S1 requested the assistance of another staff member and provided care to the resident. Staff 2 (S2) concurred with S1 and assisted with changing the resident as soon as the family requested assistance.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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-20230906084906
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: 07/08/2025
NARRATIVE
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(Continue from LIC9000)


Outside Source 1 (OS1) was interviewed and there were no complaints regarding inadequate staffing.

Outside Source 2 (OS2) was interviewed regarding the facility staffing and there were no concerns or complaints regarding having adequate staffing to care for the residents. Outside Source 3 (OS3) was interviewed and there were no concerns regarding staff; OS3 stated there were sufficient staffing. Outside Source 4 (OS4) was interviewed and there were no concerns regarding staffing.

Records review did not show evidence that staffing numbers were inadequate to meet the basic needs of residents and/or to assist with their requests. On 3 unannounced facility visits, LPA directly observed caregivers assisting residents with Activities of Daily Living (ADLs), medication, activities, and using walkie-talkies to communicate with other staff.


This agency has investigated the complaint alleging that staff are not meeting residents' needs due to inadequate staffing. The Department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report, along with the Confidential Names list (LIC 811), and licensee rights (LIC 9058 03/22). Executive Director, Cathy Allen's signature on this form confirms receipt of these rights.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
LIC9099 (FAS) - (06/04)
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