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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604722
Report Date: 01/24/2025
Date Signed: 01/24/2025 11:58:52 AM

Substantiated


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
12/26/2024 and conducted by Evaluator Sabel Martinez
COMPLAINT CONTROL NUMBER: 08-AS-20241226101847
FACILITY NAME:NOVELLUS CLAIREMONT LLCFACILITY NUMBER:
374604722
ADMINISTRATOR:LAIRD, CANDIFACILITY TYPE:
740
ADDRESS:5219 CLAIREMONT MESA BLVD.TELEPHONE:
(858) 292-8044
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:214CENSUS: 86DATE:
01/24/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Executive Director Emily DeLaBarreTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Staff did not maintain dining room at a comfortable temperature
INVESTIGATION FINDINGS:
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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.)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 08-AS-20241226101847
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: NOVELLUS CLAIREMONT LLC
FACILITY NUMBER: 374604722
VISIT DATE: 01/24/2025
NARRATIVE
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The maintenance staff were the only staff who had access to the locked thermostat in the dining room. There were times when the maintenance staff did not respond to the requests to adjust the thermostat, until several hours had elapsed. There was occasions where the air conditioning setting was turned off, but the heater was not turned on. This led to some residents leaving the dining room, eating their breakfast elsewhere, or retrieving jackets and returning to the dining room.

Although interviews with the ED and Maintenance Director revealed they were recently made aware of the dining room being too cold, and observations by the LPA noted the thermostat at sixty-eight degrees (68 degrees F) and seventy-three degrees(73 degrees F), there was enough evidence to determine staff, including the ED and Maintenance Director, had knowledge of this concern for several months and did not address it.

Based on evidence obtained, the allegation was substantiated and cited in an LIC 9099D page. A plan of correction was jointly formulated with ED DeLabarre.

An exit interview was conducted with ED DeLaBarre, to whom a copy of this report, LIC 9099D, and
Licensee/Appeals Rights (LIC 9058), were provided via email. An email read receipt confirms the documents were received by the ED.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20241226101847
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: NOVELLUS CLAIREMONT LLC
FACILITY NUMBER: 374604722
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2025
Section Cited
CCR
87303(b)
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87303 Maintenance and Operation (b)A comfortable temperature for residents shall be maintained at all times.
This requirement was not met as evidenced by:
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ED removed the lock on the thermostat to allow multiple staff access. ED also agreed to provide in service training to all staff regarding facility temperatures, and submit proof of training the LPA by 2/7/25.
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Based on interviews, the licensee did not ensure the dining room was maintaned at a comfortable temperature, which posed a potential health, safety, and personal rights risk to all residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3