Senior Care Records.

Complaint Investigation Report

Nick's Maple Home III, Rialto10/22/2024Licence 361881035

Census9
Date signed10/22/2024 02:21:41 PM
The inspector’s account

361881035-10-22-2024-56-AS-KCLS-DADUZB-20241025160116

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

04/04/2024 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20240404104547

Staff is financially abusing resident in care.

Licensing Program Analyst (LPA) Bernadette Allen conducted an in-office visit to deliver findings on the mentioned allegation. LPA Allen met with Yusef Nofal-Administrator who was informed of the findings and signed the report.

The investigation involved interviews with residents and staff, as well as a review of records. The interviews with residents and staff indicated that they have not been financially abused by staff members and that ROG services act as their payee. The facility files reviewed, including Resident 1 (R1), confirmed that ROG services are listed as the residents' payee. LPA attempted to interview R1, but they no longer reside at the facility and could not be contacted.

Based on interviews and evidence gathered during the investigation, the above allegation is found to be Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with Yusef Nofal-Administrator where this report was discussed and provided to at the conclusion of the visit with appeal rights.

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