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Inspection visit

complaint

NICK'S MAPLE HOME IIILicense 3618810352 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Based on the investigation process, and interviews during todays investigation, allegation #1 Staff are not ensuring that residents are administered their medication(s) as prescribed is SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because the preponderance of the evidence the standard has been met. Allegation 2: Staff are not providing medical supervision to resident in care as needed. LPA interviewed 4 out of 4 residents in care and it was revealed that residents are transported to appointment via facility staff or Uber driver. Residents stated they are notified about appointments via facility staff, or social worker. LPA interview with staff revealed that residents are transport to appointments by facility staff. There was one occasion where R1 missed an appointment due to mis-communication, and or lack of a valid contact number. A deficiency was cited. Based on the investigation process, and interviews during todays investigation, allegation #2 Staff are not providing medical supervision to resident in care as needed is SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because the preponderance of the evidence the standard has been met. During today’s visit, two (2) deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC9099, LIC9099C, LIC9099D, and appeal rights was discussed and a copy provided to Administrator Ahmad Abdallatef, at the end of the visit.

Citations

2 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.

  • 80070(a)(10)Type A

    (a) The licensee shall..and current record is maintained in the facility for each client. (10) Record of current medications, including the name of the prescribing physician, and instructions..medications. Based on record review, interviews conducted with residents, staff and reporting party, the licensee did not ensure the resident MARS, is maintained, and medication is dispensed and prescribed by physician orders, which poses an immediate health and safety risk to residents in care.

  • 85075(b)Type A

    85075(b) The facility shall develop and implement a plan which ensures that assistance is provided to the clients in meeting their medical and dental needs. Based on interviews, the licensee did not ensure the resident appointment was maintained by not having a valid contact number on file for residents medical provide, which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 25, 2025 inspection of NICK'S MAPLE HOME III?

This was a complaint inspection of NICK'S MAPLE HOME III on April 25, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to NICK'S MAPLE HOME III on April 25, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "(a) The licensee shall..and current record is maintained in the facility for each client. (10) Record of current medicat..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.