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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209477
Report Date: 05/06/2025
Date Signed: 05/06/2025 01:57:27 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/13/2025 and conducted by Evaluator Martin Vega
COMPLAINT CONTROL NUMBER: 24-AS-20250213162059
FACILITY NAME:NOBLE HEARTS ESTATESFACILITY NUMBER:
107209477
ADMINISTRATOR:SIVILAY,JOHNATHANFACILITY TYPE:
740
ADDRESS:1853 N RYAN AVETELEPHONE:
(559) 351-8836
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY:6CENSUS: 0DATE:
05/06/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Administrator - Johnathan SivilayTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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9
Licensee did not ensure facility was adequately staffed to meet resident’s supervision needs.
Staff did not respond to residents’ requests for assistance in a timely manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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13
On 05/06/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced to conduct a complaint investigation. LPA introduced self, stated the purpose of the visit to Administrator - Johnathan Sivilay.
LPA interviewed 2 out of 3 clients who denied staff taking too long. LPA also received a police report that stated, allegations of neglect to be unfounded. Based on documentation and interviews conducted allegations against the facility are unfounded.

This agency has investigated the complaint alleging Licensee did not ensure facility was adequately staffed to meet resident’s supervision needs and Staff did not respond to residents’ requests for assistance in a timely manner. We have found that the complaints are unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

No citations were issued at the time of this visit.
Exit interview conducted. A copy of this report was discussed and provided to Administrator - Johnathan Sivilay, whose signature on this form confirms receipt of this document.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Martin Vega
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
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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