Noble Hearts Estates

Type of visit: Required - 1 Year

On 07/28/2026, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self to staff, stated the purpose of the visit, and was granted entry to the facility. Administrator was notified of Licensing visit over the phone and was not able to attend the visit, Administrator granted permission for Assistant Administrator to sign document. LPA toured the facility with facility Assistant Administrator (AA) – Erica Dominguez. The facility was observed to be at a comfortable temperature, of 75 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed residents in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed with a service date of 07/07/2026. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 118.2 degrees F. Medications observed to be locked in a cabinet in the common area. LPA reviewed medication records administered properly at the time of annual visit. Cleaning supplies were observed to be in a locked cabinet in the laundry room, some cleaning supplies secured under the kitchen sink as well. An outdoor seating area was observed operational for residents in care. Continuation on LIC 809C Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE) LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 500 Personnel Report LIC 610E Emergency And Disaster Plan For Residential Care Facilities For The Elderly LIC 9282 Infection Control Plan LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 08/11/2026 As an operator of a Community Care Licensed facility, it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies were observed and cited during this visit. Exit interview conducted. Report was signed and Copy of this report was provided to Assistant Administrator - Erica Dominguez for facility records.the state’s words, verbatim · CDSS document, Jul 28, 2026

Type of visit: Required - 1 Year

On 07/25/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self to staff, stated the purpose of the visit, and was granted entry to the facility. Administrator was notified of Licensing visit over the phone and was not able to attend the visit, Administrator granted permission for Assistant Administrator to sign document. LPA toured the facility with facility Assistant Administrator (AA) – Erica Dominguez. The facility was observed to be at a comfortable temperature, of 75 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed residents in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed with a service date of 01/09/2025. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 117.1 degrees F. Medications observed to be locked in a cabinet in the common area. LPA reviewed medication records administered properly at the time of annual visit. Cleaning supplies were observed to be in a locked cabinet in the laundry room, some cleaning supplies secured under the kitchen sink as well. An outdoor seating area was observed operational for residents in care. Continuation on LIC 809C Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 08/07/2025 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with the AA A copy of this report was given to AA whose signature on this form confirm receipt of these reports.the state’s words, verbatim · CDSS document, Jul 25, 2025

Allegation investigated: 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.

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. Unfoundedthe state’s words, verbatim · CDSS document, May 6, 2025 · control 24-AS-20250213162059

Type of visit: Prelicensing

On 07/24/24, Licensing Program Analyst (LPA) V Gorban conducted an announced Pre-licensing visit. LPA met with Administrator Johnathan Sivilay, (certificate number 6056319740 and expiration date 08/16/2025) and discussed the purpose of the visit. LPA began the tour at the entrance of the facility that has one entrance point. LPA toured the inside and outside of the facility. LPA observed no obstruction to emergency exit. The facility was observed at a comfortable temperature of 78 degrees Fahrenheit, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Common areas furnished and well-lit throughout. LPA observed the kitchen to be absent of any trash or debris, sharp objects are secured and inaccessible to residents. At this time, seven day supply of non-perishable food were observed. Medications and chemicals were kept locked in separate cabinets. Resident’s all six bedrooms were observed to be furnished with bed, dresser, night stand, and overhead lightning. Mattresses, box springs, sheets, and linens, were absent of any tears and stains. The bathroom’s water temperature was tested at 115 degrees Fahrenheit. Towels, linens, and personal hygiene supplies were observed in storage. Outdoor seating area observed and functional for clients to utilize. Fire extinguisher observed to be current with service date of 03/01/2024. Carbon monoxide and smoke detectors were observed to be operational. First Aid Kit was checked and observed to have the required supplies. Emergency exit plan, required phone numbers, and required postings were observed. A working facility telephone number (559-351-8836) present and functional. Component III was reviewed with Administrator. No deficiencies were observed during this visit. Report will be submitted Centralize Application Bureau for record and further processing of application.the state’s words, verbatim · CDSS document, Jul 24, 2024

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: JOHNATHAN SIVILAY Interview Method: Telephone interview On June 26, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 26, 2024