374604083-5-15-2024-08-AS-LTEZ-D5RVER-20240530162247

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:25:36 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
12/01/2021 and conducted by Evaluator Dang Nguyen

COMPLAINT CONTROL NUMBER: 08-AS-20211201104741

FACILITY NAME:	MONTERA, THE		FACILITY NUMBER:	374604083
ADMINISTRATOR:	MORGAN CADMUS		FACILITY TYPE:	740
ADDRESS:	5740 LAKE MURRAY BLVD		TELEPHONE:	(619) 832-2599
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	225	CENSUS: 172	DATE:	05/15/2024
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Director of Assisted Living Karen La Vallie		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Licensee’s staff financially abused a resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver a finding regarding the above prior complaint allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Director of Assisted Living Karen La Vallie.

The Complainant alleged that Licensee’s staff financially abused a resident, because someone stole identification and debit cards from Resident #1 (R1)’s purse and made multiple unauthorized transactions using R1’s bank account.

CCLD’s investigation involved an unannounced facility tour / welfare check and interviews of pertinent facility staff, law enforcement personnel, and outside sources. The Department also requested and reviewed all available banking and police investigative records for this case.

[CONTINUED ON LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang Nguyen	TELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

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-20211201104741

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: 05/15/2024

NARRATIVE

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[CONTINUED FROM LIC 9099]

Records and interviews aligned to show: From 09/30/2021 through 11/10/2021, R1 received medical care at two other locations (i.e., a hospital, followed by a skilled nursing facility). Around mid-November 2021, R1’s responsible person (RP) recognized that there were multiple unauthorized transactions on R1’s checking account, that there was unauthorized online log-in activity to said account, and that R1’s identification and debit cards were missing from their purse. RP alerted police and the Elder Financial Abuse Unit at R1’s banking institution. Upon learning of the incident from RP, Licensee timely notified the Long-Term Care Ombudsman and CCLD, and cooperated with police.

Bank records showed: From 10/04/2021 to 10/09/2021, there were 28 disputed transactions on R1’s bank account totaling just over $6K, and from 10/20/2021 through 11/15/2021, there were another 47 disputed transactions on R1's bank account totaling just over $12K. R1’s banking institution concluded fraud had occurred and refunded all these monies back to R1’s account.

However, in both investigative records and interviews, there were conflicting accounts as to whether R1 physically took their purse (which contained their ID and debit cards) with them when they departed The Montera via ambulance on 09/30/2021, or if they left the purse behind in their bedroom at the facility. It was also unclear if R1 locked their bedroom door prior to leaving the facility. Bank and police records and interviews of police detectives did not indicate any suspect being formally identified or any arrest(s) being made for this case.

Based on the totality of evidence available to CCLD to-date, a preponderance of evidence does not exist to prove that Licensee’s staff financially abused R1. The allegation is therefore Unsubstantiated.

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

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang Nguyen	TELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

LIC9099 (FAS) - (06/04)

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