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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 07/16/2025
Date Signed: 07/16/2025 12:47:26 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
07/15/2025 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250715084931
FACILITY NAME:MONTERA, THEFACILITY NUMBER:
374604083
ADMINISTRATOR:ALLEN, CATHYFACILITY TYPE:
740
ADDRESS:5740 LAKE MURRAY BLVDTELEPHONE:
(619) 832-2599
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:225CENSUS: 180DATE:
07/16/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Aileen Spence Associate Executive DirectorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee staff did not ensure resident's basic needs were being met
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Amy Rodgers conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegations. The LPA was greeted by Aileen Spence Associate Executive Director.

The Department’s investigation consisted of a review of records and interviews with internal and external sources.

On July 15 2025, Community Care Licensing (CCL) received a complaint alleging that licensee's staff did not ensure the residents' basic needs were being met. More specifically, on an undisclosed date, residents from the memory care unit who can not feed themselves are not being fed in the dining area or their residents' rooms.

(continuned on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20250715084931
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: 07/16/2025
NARRATIVE
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(continued form LIC9099)


Food service meal attendance logs were reviewed and appeared consistent with providing all residents with meals throughout the day. Staff interviews confirmed that several residents who were unable to feed themselves were assisted while seated in the dining room, and residents who could not attend meals in the dining room were provided alternative support when meals were delivered to their rooms.  Observations by LPAs over several visits demonstrated that the residents were receiving appropriate nutritional intake and mealtime monitoring as required by their individual care plans.  Outside sources' interviews further reveal that staff attend to residents' needs during meal time in the dining room as well as at the bedside.

An exit interview was conducted with Aileen Spence Associate Executive Director. A copy of this report was provided and their signature on this report confirms receipt.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2