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Inspection visit

Routine inspection

NICK'S MAPLE HOME IILicense 3618808333 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Caregiver, Malik Salem and Administrator, Ahmad Abdallatef and was granted entry to the facility. LPA was accompanied by Ahmad to conduct a general overall inspection, which included, but was not limited to, the following: The facility has 5 bedrooms, 3 bathrooms, 1 of the 5 bedrooms is designated for staff, kitchen, dining area, living room, office area, laundry room, garage and backyard. LPA completed a walk through of facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 77 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 134.3, 133.4, and 156.6 degrees Fahrenheit. Administrator immediately lower the level on the water heater. A deficiency cited. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher, and first aid kit. Posters such as; the personal rights, CCL complaint poster, ombudsman, and license were posted in a common area. Cleaning supplies, toxins, sharps, medications and other dangerous items were kept in secure cabinets inaccessible to residents. LPA observed that the facility did have sanitary pads, and personal hygiene items for residents in care. Residents/Staff files were observed locked and made inaccessible. There are no bodies of water, firearms or ammunition in the facility. Food Service : LPA observed 2 days of perishables and 7 days non-perishables food, pantry stocked and up to date. LPA observed emergency water and food supply in facility hallway closet. Dishes, cups, and utensils were stored properly. Yards/Outside: One shaded patio, two sheds used for storage and a side gate with self-latching handle on the left side of the house that leads into the backyard. All outdoor pathways were free of obstructions. Care & Supervision: LPA observed that the facility has sufficient staff present and the schedule was posted. Record Review: LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed one (1) out of three (3) residents were missing a needs and service plan. A deficiency cited . LPA also reviewed staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA reviewed seven (7) staff files. LPA observed six (6) out of seven (7) staff file were missing one of the following documents. health screening/TB test results, training, CPR, or proof of criminal background clearance in their file. A deficiency cited . Medication was audited and matched with record. LPA reviewed the liability insurance, emergency disaster plan and disaster drills. Deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and appeal rights were discussed and copies were provided to Administrator, Ahmad Abdallatef.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(e)(3)Type B

    Based on observation, the licensee did not comply with the section cited above by not monitoring and maintaining the water temperature. LPA observed the water temperature measured at 133.4, 134.3, and 156.6 degrees Fahrenheit which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type A

    Based on observation, and record review, the licensee did not comply with the section cited by not ensuring that all staff records are updated and maintained. LPA observed that 6 out of 7 staff were missing proof of criminal clearance, health screening/TB test, training, or CPR which poses an immediate health, safety or personal rights risk to persons in care.

  • 87467(a)(3)Type B

    Based on observation, and record review, the licensee did not comply with the section cited above by not ensuring the facility maintained a annual needs and service plan for 1 out of 3 residents in care which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 25, 2025 inspection of NICK'S MAPLE HOME II?

This was a inspection inspection of NICK'S MAPLE HOME II on November 25, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to NICK'S MAPLE HOME II on November 25, 2025?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above by not monitoring and maintaining the wat..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.