374604083-7-28-2025-08-AS-SJAB-DK5P5T-20250801110117

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 07/25/2025
Date Signed: 07/28/2025 08:15:28 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
04/02/2025 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20250402133713

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: 186	DATE:	07/25/2025
		UNANNOUNCED	TIME BEGAN:	12:19 PM
MET WITH:	Aileen Spence Associate Executive Director		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Staff do not provide adequate supervision to residents.
Staff do not provide adequate food service to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver the findings in the above-mentioned complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Aileen Spence Associate Executive Director.

During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with staff, residents, and outside sources.

On April 2, 2025, Community Care Licensing (CCL) received a complaint alleging that Staff do not provide adequate supervision to residents, and Staff do not provide adequate food service to residents.

During LPA Domingo’s facility visit on April 8, 2025, LPA observed adequate supervision during mealtimes, and the dining room tables had utensils for the residents seated at the tables. When residents or their visitors needed assistance, a staff member was available to assist them.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025

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-20250402133713

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: 07/25/2025

NARRATIVE

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Continued from LIC9099

Interviews from Outside Sources revealed no concerns regarding adequate supervision of residents during mealtimes, and the residents who needed assistance with condiments or utensils were promptly assisted.

Residents were interviewed, and they did not have any complaints regarding utensils during meals or assistance during meals. Residents stated that there are utensils on the dining tables before meals. Residents stated that if there was a need for assistance during mealtime, there were sufficient staff to assist them.

Interviews with staff revealed that utensils are placed on the dining tables before meals. Staff stated that during meals, the staff were in the dining area and promptly assisted residents as needed.

It was alleged staff did not provide adequate food services to residents. A facility tour revealed the facility has a commercial kitchen, a sufficient supply of perishable and non-perishable food. LPA observed a log of temperature checks for proper refrigeration, and all expiration dates on food items complied.

LPA also conducted a review of the facility menu and secured a copy. Staff interviews and facility records revealed that residents are provided with 3 meals and 3 snacks as needed. Resident interviews revealed no issues with the facility's meals.

Outside Sources were interviewed, and there were no concerns regarding adequate food service to the residents. The Outside Sources stated that they felt the facility staff treated the residents with respect and dignity.

There were no corroborating interviews conducted with residents and outside sources regarding staff do not provide adequate supervision to resident and staff do not provide adequate food service to residents.

This agency has investigated the complaint alleging that staff do not provide adequate supervision to resident and staff do not provide adequate food service to residents. 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, licensee rights (LIC 9058 03/22), Aileen Spence Associate Executive Director's signature on this form confirms receipt of these rights

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025

LIC9099 (FAS) - (06/04)

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