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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603913
Report Date: 08/22/2024
Date Signed: 08/22/2024 12:17:08 PM

Unsubstantiated


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
11/13/2023 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20231113123805
FACILITY NAME:NOBLE LIVING II LLCFACILITY NUMBER:
374603913
ADMINISTRATOR:BUNNELL, DEBRAFACILITY TYPE:
740
ADDRESS:505 HILLS LANE DRTELEPHONE:
(619) 938-4984
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:6CENSUS: 6DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
12:02 PM
MET WITH:Nora Garcia, AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff isolated resident for an extended period of time
Staff are not meeting resident's toileting needs
Staff are not meeting resident's hygiene needs
Staff do not treat resident with dignity or respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced visit to deliver findings regarding the above-mentioned allegations LPA was allowed entry by Nora Garcia, Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the findings with the Administrator.

On November 13, 2023 allegations were made against the staff of Noble Living II LLC regarding the mistreatment and neglect of residents. The specific allegations include staff isolating a resident for an extended period of time, staff not meeting the resident's toileting and hygiene needs, and staff failing to treat the resident with dignity and respect.

On November 15, 2023, LPA interviewed the residents and staff members who may have witnessed or had relevant information regarding the incidents. LPA reviewed relevant documentation, including resident care plans, incident reports, and any other relevant records. LPA observed the facility's operations, staff interactions with residents, and the overall environment.

{Continued on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
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 2
Control Number 08-AS-20231113123805
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: NOBLE LIVING II LLC
FACILITY NUMBER: 374603913
VISIT DATE: 08/22/2024
NARRATIVE
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After conducting interviews residents and staff members, no evidence was found to support the claim that the resident was isolated for an extended period of time. The resident's statements were inconsistent, and no witnesses could corroborate the allegation. During the investigation, the resident's care plan and documentation were reviewed. It was found that the resident's toileting needs were being addressed according to the established care plan. No witnesses or additional evidence were found to support the claim that staff were neglecting the resident's toileting needs.

The investigation revealed that the resident's hygiene needs were being met as per the care plan. Staff members responsible for the resident's care reported following proper hygiene protocols and providing necessary assistance. No evidence was found to substantiate the claim that the resident's hygiene needs were being neglected. Interviews conducted with staff members and observations of their interactions with the resident did not provide any evidence to support the claim that the resident was being mistreated or disrespected. Staff members consistently reported treating the resident with dignity and respect, and no witnesses could confirm otherwise.

Based on the investigation findings, the allegations made against the staff of Noble Living II LLC regarding the mistreatment and neglect of the resident are unsubstantiated. There is no evidence to support the claims that the staff isolated the resident, failed to meet their toileting and hygiene needs, or treated them without dignity or respect. A finding that is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Nora Garcia, Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Director and his signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2