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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604441
Report Date: 11/26/2025
Date Signed: 11/30/2025 10:44:21 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
11/21/2025 and conducted by Evaluator Amy Domingo
COMPLAINT CONTROL NUMBER: 08-AS-20251121120053
FACILITY NAME:MONTE VISTA VILLAGE SENIOR LIVINGFACILITY NUMBER:
374604441
ADMINISTRATOR:ADRIAN GUILLENFACILITY TYPE:
740
ADDRESS:2211 MASSACHUSETTS AVENUETELEPHONE:
(619) 465-1331
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:219CENSUS: 102DATE:
11/26/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Adrian Guillen Administrator/Executive DirectorTIME COMPLETED:
01:47 PM
ALLEGATION(S):
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The facility is in disrepair.

Facility staff do not ensure that residents are served food of good quality.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to investigate the above-mentioned complaint allegations and deliver the findings. LPA identified herself and discussed the purpose of the visit with Executive Director Adrian Guillen.

During the course of the investigation, LPA Domingo collected relevant resident records and facility documentation, and conducted interviews with facility staff, residents, and outside sources. On November 21, 2025, the Department received a complaint alleging that the facility is in disrepair.

Staff 1 (S1) was interviewed and stated that the facility conducts regular maintenance checks and addresses repair requests promptly. Staff 2 (S2) was interviewed and confirmed that the kitchen and dining areas are cleaned daily and that no structural or safety issues have been reported.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
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-20251121120053
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: 11/26/2025
NARRATIVE
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Resident 1 (R1) reported no concerns with the condition of the facility and stated that their room and common areas are clean and well maintained. Resident 2 (R2) was interviewed and stated that there was a temperature issue last year but as of this year there has not been a temperature or facility maintenance this year. The facility is clean and well maintained.

Outside Source 1 (OS1) stated they visit frequently and has not observed any disrepair or safety issues with the facility. This past year has been exceptionally better with new floors and the temperature is always comfortable. LPA Domingo reviewed Maintenance logs and the logs showed consistent documentation of routine inspections and timely repairs. The temperatures of the common areas are within regulations. The temperatures within the private rooms are within regulation. During the facility tour, LPA observed that the building was clean, free of hazards, and in good repair. No evidence of disrepair was noted in resident rooms, bathrooms, or common areas.

On November 21, 2025, the Department received a complaint alleging that the facility staff do not ensure that residents are served food of good quality. S1 was interviewed and stated that there has not been any quality of food complaints at the resident meetings or there has not been any resident or family complaints made known to S1 as of late. S2 stated that meals are prepared fresh daily, menus are rotated weekly, and dietary needs are accommodated. Staff 3 (S3) confirmed that residents are surveyed regularly for food preferences and satisfaction. There have not been any recent complaints regarding food quality.

R1 stated that the food is “good and filling” and that they are offered choices and alternatives when needed.
R2 stated that the food is of good quality, presented well and tasted very good. There were no overcooked or burnt foods. Resident 3 (R3) was interviewed and there were no complaints of over cooked, poor tasting food. The food was quality foods, good tasting and well prepared. OS1 reported that their loved one has not expressed any concerns about the food and that meals appear well-balanced during her visits.

Menus were posted and reflected variety and nutritional balance. Food supply invoices confirmed regular deliveries of fresh ingredients. Food storage areas were clean and well-organized. LPA observed a lunch service during the visit. The meal was served hot, appeared appetizing, and included a protein, vegetable, and starch.

Based on interviews, direct LPA observations, and records review, 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 Adrian Guillen, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058, 03/22) were provided. The signature below confirms receipt of these documents
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
LIC9099 (FAS) - (06/04)
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