Senior Care Records.

Complaint Investigation Report

Nick's Maple Home III, Rialto04/25/2025Licence 361881035

Census10
Date signed04/25/2025 01:27:29 PM
The inspector’s account

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.

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