Senior Care Records.

Facility Evaluation Report

Nick's Maple Home III, Rialto11/09/2022Licence 361881035

Capacity10
Census8
Date signed11/09/2022 02:41:13 PM
The inspector’s account

LPA Amber Coleman and LPA Anna Bueno conducted an unannounced complaint visit for complaint # 56-AS-20221104151616. During this visit, LPAs observed deficiencies not related to the complaint allegations.

During the visit LPAs completed a walk through the facility and reviewed documentation. During the investigation of records. LPA's observed staff 1 (S1) did not have fingerprint clearance. This poses an immediate health and safety risk to residents in care. LPA's were informed that S1 works at the facility as a handy man. A Civil Penalty of $200 was assessed on 11/9/22. Refer to LIC809-D for deficiencies cited. Other deficiencies observed will be cited at a later time.

Citations may be issued at a later time. A copy of this report was provided to Yusef Noval, Administrator

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction