374604083-1-21-2026-08-AS-SJAB-DQU2RQ-20260130163756

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604083
Report Date: 01/21/2026
Date Signed: 01/21/2026 12:37:57 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
10/23/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20251023135216

FACILITY NAME:	MONTERA, THE		FACILITY NUMBER:	374604083
ADMINISTRATOR:	ALLEN, CATHY		FACILITY TYPE:	740
ADDRESS:	5740 LAKE MURRAY BLVD		TELEPHONE:	(619) 832-2599
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	225	CENSUS: 177	DATE:	01/21/2026
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Executive Director Karinna Topete		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Licensee did not follow reporting requirements

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Executive Director Topete, to whom LPA disclosed the reason for the visit. On December 31, 2025, it was alleged that the Facility did not follow the reporting requirement regarding a death incident. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, and a records review. Resident #1(R1) passed away on 10/14/2025. During the Department's initial visit on 10/24/2025, S1 presented a draft Death Report dated 10/15/2025 for CCLD. CCLD had no record of this report from Licensee, nor did the RO have a record of Licensee verbally reporting the Death of R1. Licensee was required to submit a written incident report to CCLD for S1’s death within seven (7) days of occurrence.The Department investigated the above allegations, and the preponderance of the evidence standard was met. Therefore, the above allegation is substantiated. Deficiency was cited in accordance with the California Code of Regulations, Title 22 and is documented on the attached 9099-D. An exit interview was conducted with Executive Director Topete and a plan of correction was jointly developed. A copy of these reports along with Licensee/Appeal Rights (LIC 9058 03/22) were provided at the conclusion of the visit.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

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-20251023135216

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: 01/21/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/16/2026 Section Cited CCR 87211(a)(1)(A)	1 2 3 4 5 6 7	(a) (1) A written report shall be submitted to the licensing agency..within seven days of the occurrence..(A)Death of any resident ...from the facility. This requirement was not met, as evidenced by:	1 2 3 4 5 6 7	The Licensee conducted Rein-service reporting requirements training with management staff in October and provided proof to LPA. Therefore the POC will be cleared today.
	8 9 10 11 12 13 14	Based on records review and interviews, licensee did not follow the facility Reporting requirements for 1 out of 177 residents. This posed potential health and personal rights risks to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: 01/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

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
10/23/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20251023135216

FACILITY NAME:	MONTERA, THE		FACILITY NUMBER:	374604083
ADMINISTRATOR:	ALLEN, CATHY		FACILITY TYPE:	740
ADDRESS:	5740 LAKE MURRAY BLVD		TELEPHONE:	(619) 832-2599
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	225	CENSUS: 177	DATE:	01/21/2026
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Executive Director Karinna Topete		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Questionable Death

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Executive Director Karinna Topete, to whom LPA disclosed the reason for the visit. On December 31, 2025, it was alleged that Resident #1(R1) death was questionable. The Department’s investigation consisted of an unannounced facility visit, outside source documents, and a records review. The death certificate obtained for R1 lists the cause of death as natural causes. R1 suffered from medical conditions for years. No other contributing factors to R1's death were noted. There is no information that R1's death was due to unnatural causes. Based on records review and outside document review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 3