Senior Care Records.

Facility Evaluation Report

Nick's Maple Home III, Rialto08/09/2022Licence 361881035

Capacity10
Census10
Date signed08/09/2022 11:49:35 AM
The inspector’s account

LPA Bernadette Allen conducted this Case Management visit at this facility to obtain signatures on a corrected copy of a 9099 originally dated and signed on 7/22/2022, regarding complaint control number 56-AS-20220719175540.

An exit interview was conducted where this report was discussed with the staff and a copy was provided to Michelle Mangaoang, at the conclusion of the visit.

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