374604441-5-14-2026-08-AS-SJAB-DUNVBC-20260602161717

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604441
Report Date: 05/14/2026
Date Signed: 05/14/2026 03:19:44 PM

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
03/18/2026 and conducted by Evaluator Dang Nguyen

COMPLAINT CONTROL NUMBER: 08-AS-20260318151719

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: 115	DATE:	05/14/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Executive Director Adrian Guillen		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Licensee does not have enough money to meet operating costs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conclude a Complaint Investigation regarding the above allegation, and to deliver a finding. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Adrian Guillen.

The Complainant alleged that Licensee does not have enough money to meet operating costs. CCLD’s investigation involved an unannounced facility tour, interviews of relevant managers, and review of pertinent financial records.

When the facility first became licensed by CCLD on 01/19/2023, the joint-Licensees then were two (2) Limited Liability Companies (LLCs) registered with the California Secretary of State (SOS): Pacifica Monte Vista LLC (202103510653) and Monte Vista Mgr LLC (202463816276).

[CONTINUED ON LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

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-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: 05/14/2026

NARRATIVE

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[CONTINUED FROM LIC 9099]

By the commencement of CCLD’s complaint investigation (03/24/2026): Per the SOS website, Pacifica Monte Vista LLC was in “Suspended – FTB” status (i.e., not active) while Monte Vista Mgr LLC was in “Active” status. LPA’s interviews of pertinent managers confirmed Pacifica Monte Vista LLC had completely ceased being involved in the facility’s operations, but Monte Vista Mgr LLC was still active and running the facility.

Per CCLD’s review of three (3) consecutive months of the facility’s profit-and-loss financial statements, pertinent to the complaint time period, the facility itself brought in more money than it spent (i.e., it was profitable) over all three (3) months. Per CCLD’s review of Licensee’s bank statements over the same period, Licensee’s bank account consistently had cash reserves.

Since 12/12/2025, there was, and remains, an active/pending Change in Ownership (CHOW) facility application in process with CCLD’s Centralized Applications Bureau (CAB). If later approved, the new joint-Licensees would then become: Monte Vista SL Opco LLC (202463816262) and Monte Vista Mgr LLC, operating under a new facility license.

Based on records and interviews, a preponderance of evidence does not exist to show that the current Licensee does not have enough money to meet operating costs. 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: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

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