complaint·September 26, 2025

(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) (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.