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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603913
Report Date: 09/26/2025
Date Signed: 09/26/2025 09:47:43 AM

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
11/26/2024 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20241126155127
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:
09/26/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Administrator, Nora GarciaTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Facility staff did not meet resident's medical needs
Facility staff did not allow resident to speak with family
INVESTIGATION FINDINGS:
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On September 26, 2025, Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a telephone conference with Administrator Nora Garcia to present investigative findings.

The Department’s investigation included a facility tour, record review, and interviews with staff and external sources.

On November 26, 2024, Community Care Licensing (CCL) received a complaint alleging that a resident (R1) required medical attention due to a persistent cough, and that staff did not take R1 to the doctor. It was specifically alleged that when an outside source spoke with R1 on the telephone, R1 sounded congested with a persistent cough.

(Continue at LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
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-20241126155127
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: 09/26/2025
NARRATIVE
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(continue at LIC9099)

Interviews revealed that the outside source initiated a 911 call, resulting in law enforcement conducting a health and safety check on R1. However, record review and interviews determined that R1 did not require medical attention.

During a visit on December 5, 2024, R1 was observed without any signs of illness. Although R1 was not alert to time, place, or self, they were observed interacting with staff and residents, watching television, and engaging socially. No cough or flu-like symptoms were observed during the two-hour visit.

Staff and resident interviews confirmed that R1 had not been observed with a cough or flu-like symptoms. Staff reported that R1’s vitals were checked daily, with no concerns identified, and that R1 had not expressed any discomfort. Staff further indicated they remain vigilant in monitoring residents and act immediately when changes in condition occur. The investigation did not yield evidence that staff failed to meet R1’s medical needs.

It was also alleged that on November 26, 2024, staff blocked an outside source from calling the facility to speak with R1. During the facility visit on December 5, 2024, LPA reviewed the facility’s phone log and phone system. Phone records confirmed that calls from the outside source’s number were received during November and December 2024, and no numbers were blocked on the facility’s phone. The phone log reflected call histories with varying durations, ranging from one to six minutes.
Staff interviews denied the allegation, and multiple interviews with outside sources did not identify concerns about restricted resident phone access. The investigation did not yield evidence to support this allegation.

The investigation found no corroborating evidence that staff failed to meet R1’s medical needs or that staff denied R1 the ability to speak with family or outside sources.

Based on the investigation—including record reviews, staff interviews, and external sources—there is insufficient evidence to substantiate the allegations. Therefore, the allegations are deemed Unsubstantiated.

(continue at LIC9099C)
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 08-AS-20241126155127
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: 09/26/2025
NARRATIVE
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(Continue from LIC9099C)


An exit interview was conducted with Administrator Nora Garcia. A copy of this report and the Licensee Appeal Rights (LIC 9058, 03/22) were provided via email at nora@nobleliving.org. Electronic confirmation of receipt was obtained.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3