Nick's Maple Home III
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State Inspection History
State Inspections
Source: CA Community Care Licensing Division
Jan 14, 2026Routine
The annual inspection identified multiple deficiencies across several areas, including facility water temperature, staff record keeping, resident record completeness, and required pre-admission documentation. All cited deficiencies were classified as Type B, indicating potential but not immediate health or safety risks if uncorrected. The facility was required to submit multiple Plans of Correction with specific due dates to address these compliance issues.
The facility water temperature ranged from 127.9 to 122.3, which was cited as a technical violation.
One out of two staff records were incomplete because they were missing required health screening and TB test results, posing a potential risk to residents.
Resident files were deficient because the administrator did not have a physician's report for one resident admitted since November 2025, and other records were missing signatures or contained white-out.
The facility failed to ensure that prior to admission, residents had a completed LIC602 report available for review and in the resident's file, posing a potential risk to residents.
Aug 7, 2025ComplaintCleanReport
This report details a complaint investigation concerning inadequate food service and unclean kitchen conditions. The investigation found that all allegations were unsubstantiated based on resident and staff interviews, and observations of the facility.
Jul 25, 2025ComplaintCleanReport
This report details a complaint investigation regarding allegations that staff coerced a resident into enrolling in an alternative insurance plan. The investigation found that the allegation was unsubstantiated based on interviews with residents and staff. No specific deficiencies were cited in the provided text.
Apr 25, 2025Complaint
The complaint investigation substantiated allegations regarding medication administration and medical supervision. Two deficiencies were cited, both classified as Type A, indicating immediate health and safety risks to the residents in care. The facility must take corrective action to ensure proper medication management and maintenance of medical appointments.
The facility failed to ensure that the resident's Medication Administration Record (MARS) was maintained, and medication was not dispensed according to physician orders, posing an immediate health and safety risk.
The facility failed to ensure that the resident's medical appointments were maintained due to not having a valid contact number on file for the resident's medical provider, posing an immediate health and safety risk.
Apr 21, 2025Complaint
The investigation substantiated the allegation of neglect/lack of care and supervision, specifically regarding a resident's self-burning behavior. The facility was cited for failing to provide necessary care and supervision, and for not following established safety plans to prevent recurrence of self-harm.
The licensee did not comply with the section cited above, evidenced by the licensee failing to seek proper assistance from the support team to prevent R1 from burning self. This poses an immediate health and safety risk.
Jan 21, 2025Routine
The inspection revealed several deficiencies across multiple areas, including immediate safety hazards and record-keeping failures. Critical deficiencies include the locking of the perimeter gate, which presents an immediate risk to resident egress during an emergency. Other noted issues involve missing or incomplete plans (Infection Control, Disaster Plan), unsecured chemicals, and deficiencies in resident medication record-keeping.
The facility locked the perimeter gate to the front and backyard, which does not allow the residents in care to exit freely in case of an emergency. This poses an immediate health, safety or personal rights risk to persons in care.
The licensee did not have an Infection Control Plan readily available to staff, residents in care, or CCL for review. This poses a potential health, safety or personal rights risk to persons in care.
The licensee did not ensure that cleaning supplies are secured and inaccessible to residents in care. These cleaning supplies not being secured poses a potential health, safety or personal rights risk to persons in care.
The licensee did not have a complete first aid kit, or book, which poses a potential health, safety or personal rights risk to persons in care.
The licensee did not monitor the MARS and ensure medication is properly logged and discarded when no longer needed. This type of error or inconsistency poses a potential health, safety or personal rights risk to persons in care.
The licensee did not conduct an annual review of the emergency disaster plan, which poses a potential health, safety or personal rights risk to persons in care.
Oct 22, 2024ComplaintCleanReport
The report details an investigation into a complaint regarding a resident falling and not receiving timely medical attention. Based on interviews and record review, the allegation was found to be unsubstantiated, meaning there was insufficient evidence to prove the alleged violation occurred.
Oct 22, 2024ComplaintCleanReport
The report details an investigation into a complaint regarding a resident falling and not receiving timely medical attention. Based on interviews and record review, the allegation was found to be unsubstantiated, meaning there was insufficient evidence to prove the alleged violation occurred.
Ownership & Operations
Who Operates This Facility
Hamed, Najeh
HAMED, NAJEH
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