For the quarter the cost of Twitter you could build a pretty sweet Earth monitoring station on the surface of the Moon. It makes zero sense that aliens with essentially magic space travel technology couldn't do the same and go completely undetected by people on Earth.
The scale and scope of "building a telescope" and "building an interstellar spacecraft" are not just comparable but directly related. I'd also assume such a civilization would have a good handle on diseases, at least have a strong understanding of them.
It turns out that the civilization on Earth that landed on the Moon also had a pretty decent understanding of disease. By the time of the Moon landing many diseases that wracked the world in the 1500s were well under control in the first world. Some were even eliminated.