Inspection Reports for Noble Living II, LLC

505 Hills Lane Dr, Fletcher Hills, CA 92020, CA, 92020

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Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Aug 18, 2025
Visit Reason
An unannounced annual required visit was conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was found to be clean, safe, and in good repair with appropriate furniture and equipment. Client files and staff records were complete and current. No deficiencies were cited during the visit, and emergency preparedness measures were in place and up to date.
Report Facts
Capacity: 6 Census: 6
Employees Mentioned
NameTitleContext
Debra BunnellAdministrator/DirectorFacility Administrator present during inspection
Renita HallLicensing Program AnalystConducted the inspection
Elizabeth GastelumAdministratorMet with Licensing Program Analyst during inspection
Maria GuerreroCaregiverMet with Licensing Program Analyst during inspection
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Aug 22, 2024
Visit Reason
An unannounced required 1-year annual visit was conducted to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, well-maintained, and free from safety hazards. Staffing was adequate and trained, resident care plans were comprehensive and up-to-date, medication administration was compliant, and health and safety protocols including infection control and emergency plans were in place. Overall, the facility complied with licensing regulations.
Employees Mentioned
NameTitleContext
Renita HallLicensing Program AnalystConducted the inspection and identified herself to the Administrator.
Nora GarciaAdministratorMet with Licensing Program Analyst during the inspection.
Debra BunnellAdministrator/DirectorNamed as facility Administrator/Director.
Denise PowellLicensing Program ManagerNamed as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 4 Capacity: 6 Deficiencies: 1 Jan 20, 2023
Visit Reason
An unannounced case management visit was conducted to cite deficiencies noted during a complaint investigation related to refund issuance delays after resident deaths.
Findings
The investigation found that refund checks for two residents were issued 19 and 21 days after the removal of personal belongings, exceeding the 15-day regulatory requirement, posing a personal rights risk to residents.
Complaint Details
The visit was triggered by a complaint investigation. Deficiency was cited based on evidence obtained during the investigation. A plan of correction was jointly developed with the licensee.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Refund of fees paid: A refund of any fees paid in advance covering the time after the resident’s personal property has been removed shall be issued within 15 days after the personal property is removed. This requirement was not met as evidenced by delays of 19 and 21 days in issuing refunds.Type B
Report Facts
Days delay in refund issuance: 19 Days delay in refund issuance: 21 Residents with delayed refunds: 2 Facility census: 4 Facility capacity: 6
Employees Mentioned
NameTitleContext
Debra BunnellLicenseeNamed in relation to the deficiency and plan of correction
Esther MillerLicensing Program AnalystConducted the inspection and authored the report
Denise PowellLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Complaint Investigation Census: 4 Capacity: 6 Deficiencies: 2 Jan 20, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the facility did not refund money owed after a resident's death and that the licensee did not provide a signed copy of the Admissions Agreement to the resident's authorized representative.
Findings
The investigation substantiated the allegations, finding that the facility included unlawful provisions in the Admissions Agreement and failed to provide a signed copy of the agreement to the authorized representative. A refund was eventually issued after the resident's death, but the process violated regulations.
Complaint Details
The complaint investigation was substantiated based on evidence that the facility did not refund money owed after a resident's death and failed to provide a signed copy of the Admissions Agreement to the authorized representative.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Admission Agreements included unlawful provisions violating residents' rights as specified in Health and Safety Code section 1569 et seq.Type B
Licensee did not provide a signed and dated current admission agreement to the resident's representative immediately upon signing.Type B
Report Facts
Refund amount: 2866.67 Capacity: 6 Census: 4 Plan of Correction Due Date: Jan 27, 2023
Employees Mentioned
NameTitleContext
Esther MillerLicensing Program AnalystConducted the complaint investigation visit
Denise PowellLicensing Program ManagerOversaw complaint investigation
Debra BunnellLicenseeNamed in findings related to refund and admissions agreement
Nora GarciaAdministratorMet with Licensing Program Analyst during investigation
Inspection Report Census: 4 Capacity: 6 Deficiencies: 0 Aug 31, 2022
Visit Reason
The visit was an unannounced case management follow-up on an incident report received by Community Care Licensing on 2022-07-25 regarding a resident's unwitnessed fall.
Findings
During the visit, the Licensing Program Analyst toured the facility, conducted staff interviews, and reviewed resident records. No deficiencies were cited during the visit.
Employees Mentioned
NameTitleContext
Debra BunnellAdministratorMet with Licensing Program Analyst during visit and involved in exit interview.
Nora GarciaAdministratorMet with Licensing Program Analyst during visit and involved in exit interview.
Victoria BozzoCaregiverAssisted resident after fall and granted entry to Licensing Program Analyst.
Vicky WilliamsonLicensing Program AnalystConducted the unannounced case management visit.
Simon JacobLicensing Program ManagerNamed in report header.
Inspection Report Annual Inspection Census: 4 Capacity: 6 Deficiencies: 0 Jul 8, 2022
Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements and infection control practices.
Findings
The facility was found to be in compliance with infection control practices, including COVID-19 mitigation measures, and no deficiencies were observed during the visit.
Employees Mentioned
NameTitleContext
Debra BunnellAdministratorAdministrator present during the visit and exit interview.
Amy DuellCaregiverCaregiver who allowed entry and conducted facility tour with Licensing Program Analyst.
Nora GarciaAdministratorAdministrator present during the visit and exit interview.
Vicky WilliamsonLicensing Program AnalystConducted the unannounced required 1-year visit.
Simon JacobLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Census: 4 Capacity: 6 Deficiencies: 0 Jul 8, 2022
Visit Reason
The visit was an unannounced case management visit conducted by Licensing Program Analyst Vicky Williamson following a reported resident death at the facility on June 29, 2022.
Findings
During the visit, the Licensing Program Analyst toured the facility, conducted staff interviews, and reviewed resident and facility records. No deficiencies were cited during the visit.
Employees Mentioned
NameTitleContext
Debra BunnellAdministratorAdministrator present during the visit and exit interview.
Nora GarciaAdministratorAdministrator present during the visit and exit interview.
Vicky WilliamsonLicensing Program AnalystConducted the unannounced case management visit.
Simon JacobLicensing Program ManagerNamed in the report header.
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Sep 13, 2021
Visit Reason
An unannounced annual required licensing inspection was conducted to verify compliance with infection control practices and other regulatory requirements.
Findings
No deficiencies were cited during this visit. Technical assistance was provided regarding N-95 fit-testing per PIN 21-10-ASC.
Employees Mentioned
NameTitleContext
Debra BunnellLicenseeGranted entry to Licensing Program Analyst and participated in the inspection.
Nora GarciaAdministratorMet with Licensing Program Analyst during the inspection and participated in the facility tour.
Alexandre VoLicensing Program AnalystConducted the unannounced annual required licensing inspection.
Simon JacobLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 6 Capacity: 6 Deficiencies: 0 Nov 12, 2020
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2019-11-14 regarding improper medication administration resulting in injury and verbal abuse by staff.
Findings
The investigation found insufficient evidence to substantiate the allegations of improper medication administration causing injury and verbal abuse by staff. Resident interviews and record reviews did not support the claims, and the allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to properly administer medication to Resident #1 resulting in injury and verbal abuse by Staff #1 to residents. Interviews and record reviews did not corroborate these allegations.
Report Facts
Facility capacity: 6 Census: 6
Employees Mentioned
NameTitleContext
Lizzette TellezLicensing Program AnalystConducted the complaint investigation and delivered findings
John RanteLicensing Program ManagerNamed in report as Licensing Program Manager
Debra BunnellAdministratorFacility Administrator met during investigation and exit interview

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