374604722-1-3-2024-08-AS-LTEZ-CZCW3P-20240110155617

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604722
Report Date: 01/03/2024
Date Signed: 01/03/2024 10:48:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/27/2023 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20231227160957

FACILITY NAME:	NOVELLUS CLAIREMONT LLC		FACILITY NUMBER:	374604722
ADMINISTRATOR:	LAIRD, CANDI		FACILITY TYPE:	740
ADDRESS:	5219 CLAIREMONT MESA BLVD.		TELEPHONE:	(858) 292-8044
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92117
CAPACITY:	214	CENSUS: 71	DATE:	01/03/2024
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Executive Director, Emily DeLaBarre		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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-Facility staff threatened resident
-Resident was locked out of facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted a complaint investigation visit. LPA met with Executive Director, Emily DeLaBarre.

During today’s visit, LPA briefly toured the facility, reviewed records, and interviewed resident and staff. It was alleged that staff threatened and locked Resident #1 (R1) out of the facility. It was reported R1 was locked out of the facility and was banging on the door for entry after hours. It was also reported Staff #1 (S1) threatened R1 by telling R1 to stop banging on the front door otherwise R1 will be written up.
The facility has new ownership and once the new company took over, they made some policy changes. The old management company allowed residents and staff to have a master key to the front door. The new management company has changed the locks and new keys were not issued to the residents. The facility has a doorbell for afterhours access. Once activated, the doorbell rings to staff’s pager notifying them someone is at the front door. R1’s interview revealed they were not provided notice of the change in policy regarding the new locks. However, R1 observed the locks being changed by a professional company and upon their return hours later, they discovered the front door was locked. Continued on an LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2024

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-20231227160957

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: NOVELLUS CLAIREMONT LLC	FACILITY NUMBER: 374604722
	VISIT DATE: 01/03/2024

NARRATIVE

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The Executive Director’s interview confirmed an email was sent out to all residents and a copy was posted at the front desk for notification. The facility usually locks the door in the evenings around 5:30pm. The facility now has regular concierge services. Therefore, the door remains unlocked until approximately 8pm. The doorbell is accessible for after- hours access.

The facility did not issue the new front door key to any residents for safety reasons. The facility did not lock R1 out of the facility. R1’s interview revealed conflicting statements that they were knocking on the door, then stated they were not knocking on the door for entry. R1’s interview also revealed S1 approached the front door to open it for R1 and told R1 to ring the doorbell and stop banging on the door. According to R1, they were going to be written up by S1 for banging on the door. No write ups were issued. S1’s interview confirmed they did not threaten R1. S1 revealed R1 was the individual that stated they were going to write S1 up, not the other way around. R1 wanted to use S1’s personal cell and S1 declined. R1 then asked to use a phone restricted to residents. When S1 denied access to the restricted phone, R1 made the comment about a write up. Further staff interviews confirmed staff are not threatening any residents and R1 usually threatens staff.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director, Emily DeLaBarre whose signature below confirms receipt of these rights.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2024

LIC9099 (FAS) - (06/04)

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