374604722-1-31-2024-08-AS-SJAB-D2P2SZ-20240221163958

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604722
Report Date: 01/31/2024
Date Signed: 01/31/2024 03:16:59 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
01/23/2024 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20240123132703

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: 70	DATE:	01/31/2024
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Emily DeLaBarre, Executive Director		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Facility not providing an adequate amount of food to resident in care
Facility overcharging resident in care

INVESTIGATION FINDINGS:

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On 01/31/2024, at about 1:20 PM, Licensing Program Analyst (LPA), Daniel Pena conducted an unannounced visit to initiate a complaint investigation. LPA introduced and identified himself, and explained the nature of the visit to the receptionist. Executive Director, Emily DeLaBarre met LPA at the lobby. LPA discussed the elements of the complaint with Ms. DeLaBarre and delivered investigative findings at the conclusion of the visit.

On 1/23/2024, Community Care Licensing Division (CCLD) received a complaint alleging the facility did not provide adequate food and overcharged a resident. No further details were communicated to CCLD. The Department’s investigation consisted of a facility visit, facility and resident record review and interviews with facility staff and outside sources.

Records and interviews revealed that Resident 1 (R1) resided at an RCFE which closed on September 26, 2023. Licensing records show that after the former facility closed, the new owner, Novellus Clairemont, LLC assumed a new licensure. The newly licensed facility was opened at the same physical location but under new licensure.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

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-20240123132703

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: NOVELLUS CLAIREMONT LLC	FACILITY NUMBER: 374604722
	VISIT DATE: 01/31/2024

NARRATIVE

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Licensing records show the date Novellus Clairemont, LLC became active was October 1, 2023. Facility and outside agency records showed that on September 20, 2023, R1 was served with a legal eviction from the former licensed facility. Outside agency records obtained show that on 9/20/23, San Diego County law enforcement officers removed R1 from the property as part of an Eviction Restoration Notice (Court Case No. 37-2023-00027224). The order was directed in the San Diego County Superior Court. Licensing records and interviews confirm R1 was not a resident at Novellus Clairemont, LLC when the alleged violations and eviction occurred. Record reviews confirm there is no evidence R1 resided at Novellus Clairemont, LLC.

The Department has investigated the allegation that the facility did not provide adequate food and overcharged a resident. Based on the results of the investigation, there was no evidence found to support the allegations listed in this report. The Department has found that the complaint allegations were Unfounded, meaning that the allegations were false, could not have happened, and/or are without a reasonable basis.

An exit interview was conducted with Director, DeLaBarre, to whom a copy of this report, and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

LIC9099 (FAS) - (06/04)

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