374604441-7-2-2025-08-AS-APAO-DJDN8A-20250708101401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604441
Report Date: 07/02/2025
Date Signed: 07/02/2025 10:20:52 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
02/25/2025 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20250225144112

FACILITY NAME:	MONTE VISTA VILLAGE SENIOR LIVING		FACILITY NUMBER:	374604441
ADMINISTRATOR:	ADRIAN GUILLEN		FACILITY TYPE:	740
ADDRESS:	2211 MASSACHUSETTS AVENUE		TELEPHONE:	(619) 465-1331
CITY:	LEMON GROVE	STATE: CA	ZIP CODE:	91945
CAPACITY:	219	CENSUS: 103	DATE:	07/02/2025
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Adrian Guillen, Administrator		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff are not assisting resident with obtaining medical care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings regarding the allegation mentioned above. LPA was allowed entry. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Administrator.

It was alleged that staff are not assisting Resident 1 (R1) with obtaining necessary medical care. The investigation consisted of a tour of the facility and collecting resident records, and interviews with the Administrator, resident, and observations.

The Administrator stated that the facility has a longstanding policy limiting transportation services to a 10-mile radius. While R1 was aware of this policy, the facility had previously made exceptions to accommodate R1’s medical needs by providing transportation to Kaiser in Kearney, which exceeded the 10-mile limit.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

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-20250225144112

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: MONTE VISTA VILLAGE SENIOR LIVING	FACILITY NUMBER: 374604441
	VISIT DATE: 07/02/2025

NARRATIVE

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Due to an increase in transportation demands from other residents, the facility determined it could no longer continue making exceptions without affecting timely service for others. As a result, the 10-mile transportation policy was reinstated without exception.

LPA observed Resident 1 (R1), who resides on the independent living side of the facility. R1 independently opened the door for the LPA and was observed speaking on the phone with Kaiser, on hold while attempting to schedule transportation for an upcoming medical visit. R1 appeared alert and oriented and demonstrated the ability to schedule their appointments and coordinate care.

Records and interviews confirmed that staff continued to assist R1 within policy guidelines, and the facility’s driver accommodated R1's documented medical condition by allowing restroom stops during transport and confirmed 10 mile radius for doctors' appointments. R1 also confirmed receiving prior transportation assistance and acknowledged awareness of the policy.

Based on interviews, records review, and observation, the allegation is unsubstantiated. Therefore, there is insufficient evidence to support the allegation that staff failed to assist R1 in obtaining medical care.
A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator, and his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

LIC9099 (FAS) - (06/04)

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