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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 07/30/2020
Date Signed: 07/30/2020 01:39:20 PM



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
10/23/2019 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20191023142420
FACILITY NAME:MONTERA, THEFACILITY NUMBER:
374604083
ADMINISTRATOR:BECK, KRISTINFACILITY TYPE:
740
ADDRESS:5740 LAKE MURRAY BLVDTELEPHONE:
(949) 242-1400
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:225CENSUS: 152DATE:
07/30/2020
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Executive Director, Judith PierfaxTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff not properly trained.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced video call to deliver findings on the above-mentioned allegation due to COVID-19. LPA identified herself and discussed the purpose of the call and the elements of the allegation with Executive Director, Judith Pierfax.

The Department’s investigation consisted of staff and resident interviews. It also consisted of staff records review, and review of the facilities procedures, protocol, and hiring requirements.

It is alleged that staff are not properly trained to meet the needs of the residents. Interviews conducted and documentation reviewed revealed that when staff are hired, they receive 40 hours of on-boarding training, all topics related to providing care to the elderly, covering 13 different modules. Once on-boarding trainings are completed, new hires spend a minimum of 3 days shadowing seasoned staff. All staff also receive ongoing training on a monthly basis, as wells as one to one training to address isolated incidents or issues. All trainings for each staff are documented on a training check log and maintained in the staff file.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2020
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-20191023142420
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: 07/30/2020
NARRATIVE
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During the initial visit conducted on 10/30/19, LPA Correia reviewed staff files and verified completion of trainings. Staff interviewed during the investigation reported facility personnel offered sufficient training to meet the general needs of the residents, as well as training provided to meet the individual needs as identified in resident care plans. Interviews were also conducted with residents, that revealed no complaints regarding the care they receive from facility staff.

Based on interviews conducted, observations made, and pertinent records reviewed, the allegation was determined to be unsubstantiated. An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted with Executive Director, Judith Pierfax via telephone and a copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) was provided to Executive Director, Judith Pierfax via email. An electronic email read receipt confirms the documents were received.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2