Facility condition and maintenance
Cited in 8 reports, with 10 deficiencies in total.
Jul 15, 2026Apr 10, 2026Mar 26, 2026Mar 24, 2026Mar 12, 2025Mar 10, 2025Oct 10, 2024May 6, 2024
MONTE VISTA VILLAGE SENIOR LIVING
2211 MASSACHUSETTS AVENUE, Lemon Grove CA 91945
219 bedsLatest official report Jul 23, 2026Licensed
Additional info
- Telephone
- (619) 465-1331
- Licensee
- PACIFICA MONTE VISTA LLC; MONTE VISTA MGR LLC
- Administrator
- ADRIAN GUILLEN
- Contact
- ADRIAN GUILLEN
- License first date
- Jan 19, 2023
- License effective date
- Jan 19, 2023
- District office
- SAN DIEGO RO · (619) 767-2300
- Regional office
- 08
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 16 Type B deficiencies for this facility.
- Most recent inspection
- Jun 9, 2026
- Most recent deficiency
- Jul 15, 2026
1 later report, on Jul 23, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 91 San Diego County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 40 reports for this facility: 10 inspections, 28 complaint investigations, and 2 licensing or administrative records.
Those records contain 1 Type A and 16 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 10
- Recorded deficiencies
- 17
- Type A deficiencies
- 1
- Type B deficiencies
- 16
- Substantiated complaints
- 11
- Repeated topics
- 4
More than the typical 9
2 in the last 12 months
Well above the typical 3
9 in the last 12 months
Most this size have none
1 in the last 12 months
Well above the typical 3
8 in the last 12 months
Well above the typical 1
7 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Basic services and supervision
Cited in 2 reports, with 2 deficiencies in total.
Resident rights
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 0 unsubstantiated · 6 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(b)
- Regulation authority
- CCR
What the official deficiency says
87307(b) – Buildings and Grounds: Safety Hazards“The facility shall be free of hazards, including but not limited to… outside walkways, porches, and yard areas...not maintained to prevent resident harm.This requirement has not been met as evidenced by: Based on LPA observations, interviews, and photographic evidence, the facility grounds were not maintained in a manner that ensured resident safety. Failure to properly maintain the palm trees and remove hazardous debris poses a potential health and safety risk to residents in care.
Official plan of correction
The Executive Director will ensure removal of all dead and hanging palm fronds. A copy of the service order will be submitted to CCLD by the due date.
Deadline recorded: Aug 28, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 28, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 10 unsubstantiated · 0 unfounded · 3 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a) The facility shall be clean, safe, sanitary and in good repair at all times.... for the safety and well-being of residents, employees and visitors. .This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not ensure the facility was clean, safe, and sanitary for multiple residents in Building 17, as LPA observed stained and torn linens, insects inside the building, food left out, and exterior doors propped open, which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee stated they will remove all damaged linens, purchase replacements, and implement monthly linen checks by the POC due date.
Deadline recorded: May 8, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 8, 2026
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1(a)(1) Residents shall be accorded dignity in their personal relationships with staff, residents, and other persons. Based on interviews, the licensee did not ensure dignity was accorded to 1 out of 1 resident in care (R1) when staff ended the resident’s meal by removing the spoon while the resident was still eating, which poses a personal rights risk.
Official plan of correction
Licensee stated they will conduct training on dignity and respect during mealtime practices and complete dining room spot checks by the POC due date.
Deadline recorded: May 8, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 8, 2026
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(2)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. Basic services shall at a minimum include: Safe and healthful living accommodations and services, as specified in Section 87307, Personal Accommodations and Services. This requirement is not met as evidenced by: Based on observations and interviews the licensee did not provide safe and healthful living accommodations for 9 out of 9 residents (R1-R9), which poses a health and safety risk to residents in care.
Official plan of correction
Administrator stated pest control is involved and will continue. In addition, administrator has called a complany to possibly install fans at openings/sliding glass doors at the main dining area of the facility. Administrator has provided the pest control recepits to LPA.
Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 10, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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: Based on interviews and LPA observation, Licensee did not maintain the facility’s outdoor draining system in safe and good repair at all times. This posed a potential safety risk to 1 of 111 resident in care.
Official plan of correction
Licensee agreed to have pumbs in place prior to any reports of rain by POC due date.
Deadline recorded: Apr 27, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 27, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 14, 2026 · Control 08-AS-20260318151719
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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: 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.
Official plan of correction
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.
Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 24, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). The following requirement has not been met as evidenced by: The facility did not provide Resident 1 sufficient care and supervision, which lead to falls resulting in fracture/injury, which is an immedaite health, safety, or personal rights risk to residents in care.
Official plan of correction
The facility administrator will train all direct care staff on:fall prevention strategies, Proper transfer techniques, Monitoring high-risk residents, Documentation of changes in condition, Training to be completed by (date) and documented in staff files and send proof to LPA by POC date of 02/24/2026.
Deadline recorded: Feb 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 24, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(a) Residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidence by; Based on observations, interviews and records reviewed staff had residents on video calls of 1 0f 104 persons in care which posed a potential Health and Safety risk to person in care.
Official plan of correction
Administrator agrees to conduct a Resident Rights training for all staff and administrators by POC date
Deadline recorded: Mar 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(d)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures: “(d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.” This requirement was not met, as evidenced by: Licensee issued 1 of 104 residents (R1) a notice to quit (i.e. a written eviction letter), but the notice did not include specific facts to permit determination of the date, place, witnesses, and circumstances concerning the reason(s) for eviction. This posted a potential personal rights risk to persons in care.
Official plan of correction
Administrator agrees to complete a training with an outside source. This training was completed by January 2, 2026
Deadline recorded: Mar 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(6)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation(e)Water supplies and plumbing fixtures shall be maintained as follows (6)...hand washing...facilities shall be maintained in operating condition. ...equipment shall be provided in facilities accommodating...based on the residents' needs. This requirement was not met as evidenced by: The facilities faucet used for hand washing were not providing hot water. This posed a potential health risk to residents in care.
Official plan of correction
Facility staff fixed the faucets during the LPAs initial visit on 9/6/2024. Deficiency is cleared.
Deadline recorded: Mar 12, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Mar 12, 2025
Correction deadline recordedDeadline Mar 12, 2025
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
MAINTENANCE AND OPERATION (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and premployees and visitors. The procedures for the safety and well-being of residents, equirement was not met as evidenced by: Based on LPA observations and interviews, the licensee did not maintain facility ceiling, bathrooms, and sliding doors in good repair. This posed a potential risk to 111 of 111 residents in care.
Official plan of correction
Licensee stated the HVAC system, restroom plumbing, and entry/exit sliding glass doors are repaired. Licensee will repair ceiling's plumbing by the POC date of 04/09/2025. Licensee to send receipts of repairs and photos of the ceiling repair. residents in care.
Deadline recorded: Mar 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 31, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(b)(1)
- Regulation authority
- CCR
What the official deficiency says
MAINTENANCE AND OPERATION (b)(1) The facility shall heat rooms that residents occupy to a minimum of 68 degrees F. This requirement was not met as evidenced by: Based on LPA observations and interviews, licensee did not maintain a comfortable temperature when the facility common areas were observed at 60 degrees F. This posed a potential health risk to 111 of 111 residents in care.
Official plan of correction
Licensee confirmed the lounge/dining HVAC is repaired. Licensee to set auditorium/lounge thermostat at at least 68 degrees, one hour before resident activities. Licensee to send photo of sign at thermostats asking residents to call staff to set temperature by 04/09/2025. .
Deadline recorded: Mar 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 31, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)(1)
- Regulation authority
- CCR
What the official deficiency says
MAINTENANCE AND OPERATION Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary and odorless condition. This requirement was not met as evidenced by: Based on LPA observations and interviews, the licensee did not ensure facility floors were maintained in a clean, sanitary condition. This posed a potential safety risk to 111 of 111 residents in care.
Official plan of correction
Licensee will retrain staff to clean dining area floors after meals by sweeping and mopping floors. Licensee to assign staff to do scheduled cleanings of auditorium. A signed training log with class description, staff name and signature is due by POC date 04/09/2025 for each area.
Deadline recorded: Mar 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 31, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(h)(2)
- Regulation authority
- CCR
What the official deficiency says
Admission Agreements- The admission aggreement shall not contain the (2) Written agreements to waive facility responsibility or liability for the health, safety or the personal property of residents, or the provision of safe and healthful facilities, equipment and accommodations. Based on records reviewed the licensee included language in the admissions agreement that threatens the residents healful accomodations in one of 115 residents in care which posed a Personal Rights risk to persons in care.
Official plan of correction
Licensee agrees to create an addendum to admissions agreement and provide proof to LPA by POC.
Deadline recorded: Nov 7, 2024. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Nov 7, 2024
Deficiency Dismissed Type B 11/07/2024 Section Cited CCR 87507(h)(2)
Plan of correction recorded
Correction deadline recordedDeadline Nov 7, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation (a) the facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provisions of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not me in evidence in: Based on observations and interviews the licensee did not maintain appliances in good repair in 12 out of 115 persons in care posed a potential Safety and Personal Rights risk to persons in care
Official plan of correction
Licensee agrees to provide proof of contract agreement to furnish working kitchenettes by POC date.
Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(3)(F)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (a)(3) …if the resident is unable or chooses not to provide them, the licensee shall assure the provision of: (F) Basic laundry service (washing, drying, and ironing of personal clothing). This requirement has not been met as evidenced by: Based on interviews and records review, the licensee did not ensure that residents were provided with personal clothing laundry as part of the basic services. This poses a potential personal rights risk to 115 of 115 residents in care.
Official plan of correction
Per Executive Director, no residents have been charged for the washing of personal laundry as of 5/6/2024. Executive Director will contact Corporate to gain approval to send a notice via mail to all residents stating that personal clothing will be included in the basic laundry service. Executive Director will provide the Department with a copy of the notice by POC due date of 5/17/2024.
Deadline recorded: May 17, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 17, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 7 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: “(a)(4) The licensee shall assist residents with self-administered medications as needed.” This requirement was not met, as evidenced by: Based on records and interviews, the licensee did not assist 1 of 124 residents (R1) with self-administered medications as needed/prescribed, which posed a potential health risk to persons in care.
Official plan of correction
Per Licensee, S1 resigned from employment in early September 2023. Licensee agreed to retrain its remaining medication technicians and nurses on accurate medication pass procedures, to include required use of the labeled holding/transport containers and “The Seven Rights of Medication Administration.” Licensee agreed to E-mail LPA a copy of the training sign in sheet, by the POC due date.
Deadline recorded: Oct 8, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 8, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology