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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 10/01/2025
Date Signed: 10/09/2025 05:01:42 PM

Substantiated


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
07/22/2025 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250722100127
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: 184DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Exuctive Director Cathy AllenTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are mismanaging residents medications
INVESTIGATION FINDINGS:
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****This is an amended document***
Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegation(s). LPA introduced themselves and disclosed the purpose of the visit to Cathy Allen, Executive Director. On 7/22/2025 it was alleged that staff are mismananaging resdients medications for Resident #1(R1). The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff and resident records review. During interviews conducted by the Department, facility staff acknowledged that they did not complete the renewal process for Resident #1’s(R1) prescribed medication in a timely manner. A review of R1's medical records confirmed that one or more scheduled doses were missed due to the delay in obtaining the medication.
The failure to ensure timely renewal of prescribed medication resulted in a lapse in treatment and does not meet the regulatory requirement to arrange for medical care appropriate to the resident’s condition and needs therefore, a preponderance of evidence exists to support the allegation. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted and copy of this report, Appeals rights, LIC9099 C and LIC9099D were provided to Memory Care Director, Noe Romero.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
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-20250722100127
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/01/2025
Section Cited
CCR
87465(a)(1)
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Incidental medical and dental care . (a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidence by:
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 The Licensee has conducted an inservice medication training prior to the 7/30/2025 vist Med Tech staff. Proof of training was provided on the 7/30/2025 visit.
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The licensee failed to ensure continuity of R1’s prescribed medication, resulting in a lapse in treatment without physician direction. This posed a potential health and safety risk to 1 of 184 residents.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2