Inspection Reports for Novellus Clairemont

An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.

The facility was found to be clean, sanitary, and in good repair with no immediate hazards. However, three Type B deficiencies were cited related to incomplete staff training, a bedridden resident residing in a non-bedridden approved room, and operating beyond the conditions of the license by retaining a resident with a Dementia diagnosis.

An unannounced complaint investigation was conducted in response to allegations that staff neglect resulted in the hospitalization of a resident, that medical attention needs were not met, and that incontinence care was not provided.

The investigation substantiated the allegations, finding that staff neglect led to the resident's hospitalization due to sepsis from a UTI, medical needs were not appropriately addressed, and incontinence care was not provided. Staffing shortages and lack of documentation contributed to these deficiencies.

The complaint alleged staff neglect resulting in resident hospitalization, failure to seek medical attention, and failure to meet incontinence needs. The investigation substantiated these allegations based on interviews, record reviews, and observations.

The inspection was conducted in response to a complaint received on May 29, 2024, alleging that staff failed to administer medication as ordered and that there was an insufficient number of staff to meet residents' needs.

The investigation substantiated both allegations, finding that medication administration was often delayed due to staffing shortages and that residents' other care needs were not consistently met. The facility experienced ongoing staffing shortages between February and May 2024, with management acknowledging reliance on external staffing agencies. As of May 2025, new management has prioritized increasing staffing levels, and current staffing is adequate.

The complaint was substantiated based on observations and interviews. The allegations involved late medication administration due to staff shortages and insufficient staffing to meet resident needs. No adverse health outcomes were reported, but care services such as incontinence care, grooming, and housekeeping were often delayed or incomplete.

The visit was an unannounced Case Management follow-up on an incident reported to Community Care Licensing involving a resident found unresponsive and pronounced deceased.

During the visit, the Licensing Program Analyst conducted a file review and consultation with the Executive Director. No deficiencies were cited during the visit.

An unannounced complaint investigation was conducted following a complaint received on 12/26/2024 alleging that staff did not maintain the dining room at a comfortable temperature.

The investigation substantiated that the dining room was often colder in the mornings, staff including the Executive Director and Maintenance Director were aware of the issue for several months but did not address it. The thermostat was locked and only accessible by maintenance staff, who sometimes delayed adjusting it, causing discomfort to residents.

The complaint was substantiated. It was confirmed that staff did not maintain the dining room at a comfortable temperature, posing a potential health, safety, and personal rights risk to residents.

The visit was an unannounced Case Management inspection triggered by an incident report regarding a resident's fall and subsequent injury.

The report details that Resident #1 sustained a fall on 12/05/2024, initially showed no fractures, but later was diagnosed with a pelvic fracture after a second hospital visit. Additional visits and review of pending records are necessary.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not provide resident medication as prescribed.

The investigation found that Resident #1 did not require assistance with medication management and managed their own medication. The allegation that staff did not provide medication as prescribed was unsubstantiated based on evidence including care plans and interviews.

The complaint alleged that staff did not provide resident medication as prescribed. The allegation was found to be unsubstantiated.

The inspection was an unannounced Required Continuation Annual Inspection conducted to evaluate compliance with licensing requirements for the facility.

The Licensing Program Analyst conducted a thorough inspection including resident bedrooms, bathrooms, water temperature, and facility signal system, finding all within required operational ranges. No deficiencies were cited during this visit.

The visit was an unannounced Case Management visit conducted in response to an Unusual Incident Report regarding a resident who eloped from the facility and was returned by police.

The investigation found that the resident had mild cognitive impairment and had previously attempted to leave the facility but this was the first time the resident left unassisted. The facility notified the family and transported the resident to the hospital. No deficiencies were cited during this visit.

An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.

The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All inspected areas, including bedrooms and equipment, were in proper working order and safely maintained.

The visit was conducted in response to an Unusual Incident Report submitted on August 28, 2024, regarding Resident #1 who had left the facility and was considered AWOL.

Review of records and interviews confirmed the facility followed its elopement procedures. No deficiencies were cited during this visit.

The complaint involved Resident #1 leaving the facility and being considered AWOL. The investigation substantiated that the facility followed proper procedures.

The visit was conducted in response to an Unusual Incident Report (LIC 624) received by the Department on 08/09/2024 regarding a resident who had a fall and sustained a fracture.

During the unannounced Case Management visit, pertinent records were secured and a facility tour was conducted. No immediate health or safety concerns were observed at the time of the visit.

The complaint involved Resident #1 who had a fall resulting in a fracture. The investigation found no immediate health or safety concerns during the visit.

An unannounced complaint investigation was conducted following an allegation that the licensee did not provide a refund within the required timeframe after a resident's belongings were removed from the facility.

The investigation substantiated that the facility did not refund fees within 15 days as required by California Code of Regulations, Title 22, posing a potential health, safety, and personal rights risk to one resident. Documentation confirmed the refund was eventually provided and the Plan of Correction was cleared during the visit.

The complaint was substantiated. It was alleged and confirmed that the licensee did not provide a refund within the required 15-day period after a resident's belongings were removed from the facility.

The visit was an unannounced complaint investigation initiated due to allegations that the facility did not provide an adequate amount of food to a resident and overcharged a resident.

The investigation found no evidence to support the allegations. Records and interviews confirmed that the resident involved was not residing at the facility during the alleged violations. The complaint was determined to be unfounded.

The complaint alleged inadequate food provision and overcharging of a resident. The investigation concluded the allegations were unfounded, meaning they were false, could not have happened, or lacked reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff threatened a resident and that a resident was locked out of the facility.

The investigation found inconsistent statements and insufficient evidence to substantiate the allegations. Interviews and record reviews indicated that the facility did not lock the resident out nor did staff threaten the resident. The allegations were deemed unsubstantiated.

The complaint involved allegations that staff threatened Resident #1 and locked them out of the facility. The investigation revealed conflicting statements and no preponderance of evidence to support the allegations. Staff interviews indicated that Resident #1 usually threatens staff. The complaint was unsubstantiated.

An unannounced Case Management visit was conducted to discuss eviction procedures and collect pertinent records.

The Licensing Program Analyst conducted the visit with assistance from facility staff and discussed eviction procedures. Relevant records were collected and an exit interview was conducted.

An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to secure report signatures and deliver an amended report.

The Licensing Program Analyst identified himself, explained the purpose of the visit, secured report signatures, delivered an amended report, and conducted an exit interview with the Business Office Manager.

An unannounced complaint investigation was conducted following a complaint alleging the facility charged a resident for services not received.

The investigation found that the invoices in question were from the previous facility and not the currently licensed facility. No invoices for November 2023 had been sent out. Based on the evidence, the alleged violation was unsubstantiated.

The complaint alleged the facility charged a resident for services not received. The allegation was unsubstantiated after review of records and interviews.

An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to secure report signatures and deliver an amended report.

The Licensing Program Analyst identified himself, explained the purpose of the visit, secured report signatures, delivered an amended report, and conducted an exit interview with the Executive Director.

Licensing Program Analyst Sabel Martinez conducted an unannounced collateral visit to obtain records and conduct interviews with a resident and staff.

No immediate health or safety concerns were observed and no deficiencies were cited during the visit.

An unannounced pre-licensing visit was conducted to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code.

The facility was found clean, sanitary, and in good repair with compliant ambient and hot water temperatures. Safety equipment and fire extinguishers were operational and serviced. The facility passed the pre-licensing inspection with no deficiencies noted.

The visit was conducted as a Component II evaluation for a Change in Ownership (CHOW) application for the Residential Care Facility for the Elderly (RCFE).

The Component II evaluation was completed successfully, confirming the Applicant and Administrator's understanding of licensing laws, facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness.