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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604441
Report Date: 03/24/2026
Date Signed: 03/24/2026 08:09:04 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
03/18/2026 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20260318151719
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: 111DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Executive Director Adrian GuillenTIME COMPLETED:
08:15 PM
ALLEGATION(S):
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Licensee did not maintain outdoor walkways in safe condition.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to commence a Complaint Investigation regarding the above allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Adrian Guillen.

The Complainant alleged that Licensee did not maintain outdoor walkways in safe condition. CCLD’s investigation involved an unannounced facility tour (to include both daytime and nighttime observation) and interviews of pertinent residents and facility staff.

In regard to the allegation, the Complainant said that the facility’s outdoor walking paths/sidewalks had uneven pavement, and that they were poorly lit at night. During today’s visit, which began in the day and ended at night, LPA, accompanied by the administrator, walked the facility’s outdoor path/sidewalks, in both daylight and nighttime conditions. [CONTINUED ON LIC 9099-C]
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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 6
Control Number 08-AS-20260318151719
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: 03/24/2026
NARRATIVE
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[CONTINUED FROM LIC 9099]

LPA observed, and manager interviews confirmed: There were a few areas of lift between sidewalk slabs, likely caused by either tree roots or movement of underlying earth. These areas represented potential trip hazards to seniors/elderly. LPA and managers agreed that these gaps were close enough that they could be remedied/smoothed with a concrete grinder. There were also a few areas of paths on the facility campus that were not well lit at night. There were also multiple outdoor light bulbs which were non-working and needed to be replaced. Prior to today’s visit, Licensee had installed one (1) additional outdoor light, but manager interviews, supported by LPA observation, showed that five (5) more of these units were needed to cover other areas.

Based on records and interviews, a preponderance of evidence exists to show the Licensee did not maintain outdoor walkways in safe condition. The allegation was therefore Substantiated, and one (1) deficiency was cited for it per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Plan of Correction was jointly developed with the Licensee.

An exit interview was conducted with Executive Director Adrian Guillen, to whom a copy of this report, the LIC 9099-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 08-AS-20260318151719
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/24/2026
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation: “(a) The facility shall be…safe… and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.” This requirement was not met, as evidenced by:
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Licensee agreed to hire a vendor with a concrete grinder to smooth out all lifted edges of concrete sidewalk on the facility’s premises. Licensee agreed to purchase and install five (5) additional outdoor lights. Licensee agreed to also replace all outdoor light bulbs where they have gone out. Licensee agreed to E-mail: a) the concrete grinding invoice, b) the purchase receipt for the 5 additional lights, and c) a simple list of all locations where existing bulbs were replaced, to LPA, by the POC due date.
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Based on staff interviews and LPA observation, Licensee did not maintain the facility’s outdoor walkways in safe and good repair at all times. This posed a potential safety risk to 111 of 111 residents (Resident #1 through Resident #111) in care.
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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: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
03/18/2026 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20260318151719

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: 111DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Executive Director Adrian GuillenTIME COMPLETED:
08:15 PM
ALLEGATION(S):
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Licensee had not remedied a rat/rodent problem.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to commence a Complaint Investigation regarding the above allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Adrian Guillen.

The Complainant alleged that Licensee had not remedied a rat/rodent problem at the facility. CCLD’s investigation involved an unannounced facility tour (to include both daytime and nighttime observation), review of pest control records, and interviews of pertinent residents and facility staff.

Licensee produced paid invoices showing a professional pest control company has come to the facility twice (2) per month, every month, for the last twelve (12) months, to provide generalized preventative maintenance services plus specialized mosquito abatement.

[CONTINUED ON LIC 9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 08-AS-20260318151719
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: 03/24/2026
NARRATIVE
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[CONTINUED FROM LIC 9099-A]

During his own tour, LPA observed that while the facility campus/grounds had many trees and areas of foliage, outside most building entrances were multiple covered mouse traps, which had been placed/installed by the above professional pest control company.

During his many hours at the facility, LPA did not personally see any rats/rodents indoors. Managers said they had not received any recent reports of rats/rodents entering indoor spaces. LPA also interviewed a knowledgeable representative of the Resident Council, who denied hearing any recent concerns/complaints of rats/rodents entering indoor spaces.

Based on records and interviews, a preponderance of evidence does not exist to show that Licensee had not remedied a rat/rodent problem at the facility. The allegation is therefore Unsubstantiated, and no deficiency was cited for it.

An exit interview was conducted with Executive Director Adrian Guillen, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6