The Montera

We haven’t transcribed this report yet. The complete document is on the state’s site.

We haven’t transcribed this report yet. The complete document is on the state’s site.

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management – Incident visit on 09/28/2026. LPA was welcomed by and identified herself to Executive Director (ED) Karinna Topete, and the purpose of the visit was discussed. This visit is in response to the self-reported incident submitted to the Department on 09/25/2026 regarding an emergency involving Resident #1 (R1). According to the report, on 09/23/2026, R1 experienced a medical emergency while in the dining area. Staff initiated emergency procedures, and outside emergency personnel responded and transported R1 to the hospital. Interviews and records review revealed that R1 was independent in activities of daily living and did not have a restricted diet. A subsequent report submitted on 09/28/2026 informed the Department that R1 passed away. No additional details regarding the circumstances surrounding the incident were provided by the facility at this time. No deficiencies were cited during the visit. An exit interview was conducted with staff, and a copy of this report, along with the LIC 811 Confidential Names List and the Licensee/Appeal Rights (LIC 9058), was provided.the state’s words, verbatim · CDSS document, Sep 28, 2026

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was granted entry by and disclosed the purpose of the visit to Executive Director Karinna Topete. On October 14, 2025, the Licensee agreed on a compliance plan for the following 24 months through October 14, of 2027. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements described in the LIC9111. During the visit, the facility was clean, safe, and in good repair. Records reviewed were current and complete. There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was operating consistent with the terms of the compliance conference. No deficiencies were observed or issued as part of this compliance visit. 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.the state’s words, verbatim · CDSS document, Aug 3, 2026

Allegation investigated: Staff are charging a resident for services not rendered. Staff are not properly bathing a resident in care. Staff left a resident in a soiled diaper for a long period of time.

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Karinna Topete. Community Care Licensing Division (CCLD) received a complaint alleging that the resident was charged for services not rendered, not properly bathed by staff, and left in a soiled brief for an extended period. The Department’s investigation consisted of unannounced facility visits, interviews with staff, the resident, and an outside source, as well as a review of facility documentation, assessment records, and call light logs. (continued on LIC9099C) Unsubstantiated (Continued from LIC9099) Regarding the allegation that Resident #1(R1) was left soiled for an extended period of time. More specifically in October 2025 R1 was left in a recliner for 5–6 hours in urine and feces and had to call 911. Department interview with R1 revealed conflicting statements regarding the timeline of events and the level of staff intervention. R1 consistently reported there was a malfunction with the electronic recliner chair used for sitting and sleeping due to mobility limitations. Staff interviews, facility call light logs, and facility records all show multiple staff responses and attempts during the reported timeframe to address R1 concerns and personal care needs while in their malfunctioning recliner. Documentation reviewed did not support a period of several hours without staff contact or assistance. Further staff interviews reveal R1 did not require incontinent care and did not have a pattern of toileting accidents. Regarding the allegations that staff are not properly bathing a resident in care and that staff are charging a resident for services not rendered. More specifically, the reporting party stated that staff are not bathing R1 properly, including not cleaning behind R1’s knees as needed, and that R1 is being charged for Level 2 care without receiving the corresponding services. Outside source interviews revealed that a caregiver assisted the resident with bathing and daily tasks when requested, although the resident had expressed dissatisfaction with staff assistance. Records review showed that the Needs & Services Plans documented bathing assistance, skin care monitoring, mobility assistance, escorting, and supervision as part of the assessed care. The plans assessed toileting as independent or minimal assist, and incontinence care or brief changes were not identified as required services. A comparison of the Needs & Services Plan with facility billing showed that Level of Care services corresponded with the resident’s assessed needs. Review of personal care documentation reflected repeated attempts by staff to provide bathing and skin care assistance. Review of call light logs for the period surrounding the reported timeframe showed consistent staff response with no prolonged gaps or periods of nonresponse. Facility notes did not document any episodes of soiling, incontinence, or delayed toileting. LPA observations revealed no indicators that the resident required incontinence care or brief changes, and personal care tasks documented by staff aligned with the services listed in the resident’s care plan. Based on interviews, direct LPA observations, records review and interviews, a preponderance of evidence does not exist to prove that the alleged violations occurred. Therefore, the combined allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Karinna Topete, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jun 12, 2026 · control 08-AS-20260420150507

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management - Incident visit. LPA was welcomed by Executive Director Karinna Topete and discussed the purpose of the visit. Today's visit was in response to an Report of Suspected Dependent Adult/Elder Abuse (SOC341) that the licensee self submitted to the CCLD San Diego Regional Office as well as incident report. The SOC 341 reported concerns of self neglect, specifically that resident #1 (R1) had been drinking excessively and refusing care, resulting in additional health problems. LPA Rodgers was unable to conduct a health and safety check for R1 today due to R1’s continued hospitalization following an incident. During today’s visit, LPA observed photo evidence dated 6/6/2026 showing multiple containers of alcohol being delivered to R1’s room, which aligns with the self neglect concerns documented in the SOC 341. This information further supports ongoing risk factors related to R1’s health, safety, and ability to manage personal needs. LPA briefly toured the facility, interviewed staff, and reviewed updated documentation. No immediate health or safety risks were observed for other residents in care. An exit interview was conducted with Executive Director Karinna Topete, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jun 12, 2026

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was granted entry by and disclosed the purpose of the visit to Executive Director Karinna Topete. On October 14, 2025, the Licensee agreed on a compliance plan for the following 24 months through October 14, of 2027. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements described in the LIC9111. During the visit, the facility was clean, safe, and in good repair. Records reviewed were current and complete. There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was operating consistent with the terms of the compliance conference. No deficiencies were observed or issued as part of this compliance visit. 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.the state’s words, verbatim · CDSS document, Apr 29, 2026

Allegation investigated: Staff did not follow resident's hospice care plan Staff did not safeguard resident’s personal belongings

Licensing Program Analyst (LPA) conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Karinna Topete. On March 9, 2026, Community Care Licensing Division (CCLD) received a complaint alleging the above mentioned alligations. The Department’s investigation consisted of unannounced facility visits, interviews with staff and outside sources, and a review of records . Regarding the allegation staff did not follow the resident’s hospice care plan. More Spefically, concern involved Residnet #1(R1) missing bowel movement entries and the resident later requiring intervention for constipation. Department Record review revealed hospice staff were actively involved, the facility followed hospice directions, and documentation issues did not demonstrate that care was not provided. Regarding the Allegation that Staff did not safeguard the resident’s personal belongings. More specifically, consern involding a missing fan. R1's move in inventory did not list this item. Staff and outside interviews revealed no reports of staff taking, withholding, or missing facility’s possession. LPA observations revealed no issues with storage or handling of resident belongings. Based on interviews, direct LPA observations, and records review, interviews with internal and external sources a preponderance of evidence does not exist to prove that the alleged violations occurred. Therefore, the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Topete, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 8, 2026 · control 08-AS-20260309131020

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was granted entry by and disclosed the purpose of the visit to Executive director Karinna Topete. On October 14, 2025, the Licensee agreed on a compliance plan for the following 24 months through October of 2027. The last prior inspection was on January 30, 2025. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements as set forth in the Non-Compliance Plan. During the visit, the facility was clean, safe, and in good repair. Records reviewed were current and complete. There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was operating consistent with the terms of the compliance conference. No deficiencies were observed or issued as part of this compliance visit. 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.the state’s words, verbatim · CDSS document, Jan 29, 2026

Type of visit: Prelicensing

Licensing Program Analyst, LPAs Amy Rodgers and Janet Ngallo made an announced site visit to the facility for a Pre-licensing and Component III visit. LPAs met with the Executive Director Cathy Allen. The fire inspection for the facility was completed on January, 27, 2025. The facility was approved for 225 non-ambulatory residents of which 20 residents can be bedridden limited to the first floor units. Facility has a sprinkler system, carbon monoxide detectors, and smoke detectors. LPA's discussed Hospice and personal rights with management staff. . LPAs toured the facility campus and conducted a review of apartments on campus, common areas and grounds. There are 3 separate building on campus, with Building B and C housing residents. Each unit has a private bathroom. The bathrooms each have either a tub cut or walk-in showers. There is a large recreational area and dinning area with additional areas on campus for dinning and recreation as well as smaller meeting rooms throughout the campus. LPA checked the facility kitchen which was clean with all working industrial appliances for residents. The kitchen was fully stocked with the supplies to provide the required food service. The water temperature was checked and was within regulation. There was over a seven day supply of perishable and 2 non-perishable foods. Facility has a variety of recreation areas including a fitness area, activity rooms, computer lounge, library, theater and a beauty salon. There is also a pool with five foot fencing and a locked self-latching gate. (continued on LIC9099C) (Continued from LIC9099) Facility has plenty of outside activity space with walking paths. Staff records and part of resident records are kept locked in the business office area. There are two locked medication rooms with two LVN's on staff. The resident medical records are kept in the medication area along with most of the medications. Facility has first aid supplies and book with the required first aid items. LPA reviewed the applicant's Infection Control Plan and Emergency Disaster Plan. LPA's observed a memory care neighborhood housed on the first floor in building B. There are four delayed egress entrance/exit doors, two leading to a secured outside patio. The patio is fenced and there are 3 secured perimeter exit gates which can only be opened by a key fob. LPA conducted Component III with the applicant. The topics discussed were continuing operation requirements, record keeping/reporting, and physical plant compliance. Pre-licensing is complete, and this facility has no deficiencies. It is recommended that this facility be licensed pending final review and approval. An exit interview was conducted with the Executive Director Cathy Allen, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Aug 1, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 225 Census (if any clients in care): 188 COMP II Participants: Sanjay Kabadi (Administrator) & Denise Munoz (CEO) Interview Method: Virtual interview via Microsoft Teams On December 19, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 19, 2024