Novellus Clairemont Llc

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide resident with a refund.

Licensing Program Analyst (LPA) Correia conducted an unannounced visit to commence and conclude a complaint investigation. LPA Correia was met by Concierge Angele Reyes, identified herself, and subsequently met with Business Office Coordinator (BOC) Vanessa Padilla to whom it was explained the purpose of the visit. The Department’s investigation consisted of a review of R1’s facility records and a review of outside source records, a tour of R1’s room, and outside source interviews. On November 21, 2025, the Department received a complaint that alleged the facility would not provide a refund for the number of pre-paid days after R1 had relocated. This is an amended version of the original complaint delivered on December 8, 2025. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 8, 2025 · control 08-AS-20251121091920

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are mismanaging resident's medication.

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to deliver findings regarding the above-mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit with Executive Director Ernest Lewis. On 2/28/25, it was alleged that the facility is mismanaging a resident’s (identified as R1) medication. The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff, residents, and outside sources. [Continued on LIC 9099C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 7, 2025 · control 08-AS-20250228100611

Allegation investigated: Staff did not administer medication as ordered Not enough staff to meet residents needs

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. Upon arrival, LPA was greeted by Executive Director (ED) EJ Lewis, identified herself, and explained the purpose of the visit. Investigation Overview Community Care Licensing (CCL) initiated an investigation in response to a complaint received on May 29, 2024. The complaint alleged that staff failed to administer medication as ordered and that there was an insufficient number of staff to meet the needs of residents. To evaluate these allegations, the CCL conducted an onsite inspection of the facility, reviewed facility records, and conducted multiple interviews with staff, residents, and external sources. These investigative methods were used to assess the facility’s compliance with applicable laws and regulations during the relevant time period. (continue at LIC9099C) Substantiatedthe state’s words, verbatim · CDSS document, Jul 30, 2025 · control 08-AS-20240529111937

Allegation investigated: Staff neglect resulted in resident's hospitalization Staff did not seek medical attention to meet resident's needs Staff did not meet resident's incontinence needs

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. Upon arrival, LPA was greeted by Executive Director EJ Lewis. LPA identified herself and explained the purpose of the visit. Investigation Overview Community Care Licensing (CCL) initiated an investigation in response to a complaint received on April 4, 2025, alleging that staff neglect resulted in the hospitalization of Resident 1 (R1), that staff did not seek medical attention to meet R1’s needs, and that incontinence care was not provided. A Confidential Names List (LIC 811) was provided to staff to identify R1. To investigate these allegations, the Department conducted an onsite facility inspection, reviewed facility records and medical documentation, and conducted multiple interviews with facility staff, residents, and external sources. (continue at LIC9099C) Substantiatedthe state’s words, verbatim · CDSS document, Jul 30, 2025 · control 08-AS-20250404143359

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not maintain dining room at a comfortable temperature

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced complaint investigation visit to conduct additional interviews and deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director (ED) Emily DeLaBarre. Throughout the investigation, the Department secured records and attempted interviews with external and internal sources, including staff and residents. It was alleged staff did not maintain the dining room at a comfortable temperature. On 12/26/2024, it was reported to the Department the dining room was often at a colder temperature, staff were made aware, but it was not addressed. Interviews with staff and residents confirmed the dining room was often colder in the mornings, that this was reported to the maintenance staff, but it was not addressed. (See LIC 9099C for continuation of report.) Substantiatedthe state’s words, verbatim · CDSS document, Jan 24, 2025 · control 08-AS-20241226101847

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide resident medication as prescribed.

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Emily De La Barre. It was alleged staff did not provide resident medication as prescribed. On 10/07/2024, it was reported to the Department staff did not provide Resident # 1 (R1) prescribed medication. Although R1’s Physician’s Report noted that R1 did, and also noted R1 did not require assistance with medication management, review of R1’s care plan revealed R1’s did not require medication management, nor a service for medication assistance. Interviews with R1 and the facility administrator corroborated R1 managed R1’s medication and did not require assistance with medication management. Based on the evidence obtained, the allegation was Unsubstantiated. (See LIC 9099C for continuation of report.) Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 19, 2024 · control 08-AS-20241007090449

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee did not provide a refund

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Emily De La barre. Throughout the investigation, the Department secured pertinent records and conducted interviews with internal and external sources. It was alleged the Licensee did not provide a refund. It was reported to the Department the facility did not refund fees paid within the required timeframe, after a resident’s belongings were removed from the facility. An interview with the facility’s Executive Director confirmed Resident # 1 (R1s) belongings were removed from the facility on 01/06/24, and a refund check was not available until 02/02/24. The facility did not provide a refund within a fifteen (15) day period as indicated in the California Code of Regulations, Title 22. (See LIC 812 for continuation of report.) Substantiatedthe state’s words, verbatim · CDSS document, Mar 6, 2024 · control 08-AS-20240129112107

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

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, LLthe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 08-AS-20240123132703

Allegation investigated: -Facility staff threatened resident -Resident was locked out of facility

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 dthe state’s words, verbatim · CDSS document, Jan 3, 2024 · control 08-AS-20231227160957

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility charged a resident for services not received

*This is an amended report to a report originally signed on 10/18/2023. Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced visit to initiate a complaint investigation. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Candi Laird. Throughout the investigation, the Department secured pertinent records and conducted interviews. It was alleged the facility charged a resident for services not received. A review of the facility file revealed the facility was licensed on 10/01/23. Review of records obtained at the facility, confirmed the previous facility dated their invoices on 9/14/23, for monthly fees collected 10/01/23, for the month of October. Interviews with residents and staff corroborated the invoices were from the previous facility, and not from the current licensed facility. Invoices for the month of November 2023 have not been sent out to the residents as of today’s date. Based on the evidenced collected throughout the inthe state’s words, verbatim · CDSS document, Oct 18, 2023 · control 08-AS-20231011114740

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.