Nick's Maple Home Iii

Allegation investigated: Illegal eviction

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegation. LPA Farlow was greeted and granted entrance into the home by Caregiver, Sharef "Sean" Awad. LPA Farlow asked Caregiver Sean to notify the administrator of my arrival. LPA spoke to Administrator, Ahmad Abdallatef and Yusef Nofal via phone and explained the purpose of the visit and the complaint elements. During the course of the investigation the LPA conducted interviews with resident, staff and relevant parties. LPA reviewed records, obtained copies of documentation from residents. The allegation is the facility conducted an illegal eviction. LPA interviewed staff, resident, and relevant parties. LPA interviews revealed that R1 was not given a 30 day notice advising R1 of the move. R1's Conservator or Social Worker were not aware of the move and was not notified of a need to move. LPA interview with staff revealed that the facility moved the wrong resithe state’s words, verbatim · CDSS document, May 18, 2026 · control 56-AS-20260304150013

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not providing adequate food service Staff do not keep kitchen clean and orderly

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegations. LPA Farlow was greeted and granted entrance into the home by Caregiver, Michelle Mangaong. LPA Farlow asked Caregiver Michelle to notify the administrator of my arrival. LPA met with Administrator, Yousef Nofal and Ahmad Abdallatef explained the elements of the complaint. The allegation is staff are not providing adequate food service. LPA Farlow investigation consist of an tour of the facility, record review, interviews with residents, and staff. LPA interviewed seven (7) residents. Seven (7) out of seven (7) residents stated staff have adequate food service. Residents stated the facility has plenty of food for residents in care. Seven (7) out of seven (7) residents stated staff provide plenty of food and a variety of different meals to eat. LPA interviewed three (3) out of three (3) staff. The results from the interview with the three staff revealedthe state’s words, verbatim · CDSS document, Aug 7, 2025 · control 56-AS-20250801122654

Allegation investigated: Staff coerced resident to enroll in alternative insurance plan.

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegation. LPA Farlow was greeted and granted entrance into the home by Caregiver, Michelle Mangaong. LPA Farlow asked Caregiver Michelle to notify the administrator of my arrival. LPA met with Administrator, Ahmad Abdallatef and explained the elements of the complaint. The allegation is staff coerced resident to enroll in alternative insurance plan. LPA Farlow investigation consist of an tour of the facility, record review, interviews with residents, and staff. LPA interviewed five (5) residents. Four (4) out of five (5) residents stated staff have not forced or coered them to switch insurance plan. Five (5) out of five (5) residents stated staff assist them with medical appointments. LPA reviewed residents file and observed that residents have varies medication insurance programs. LPA interview with R1 revealed that R1 stated the staff coered R1 to change insurthe state’s words, verbatim · CDSS document, Jul 25, 2025 · control 56-AS-20250723152835

Allegation investigated: Staff are not ensuring that residents are administered their medication(s) as prescribed. Staff are not providing medical supervision to resident in care as needed.

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegations. LPA Farlow was greeted and granted entrance into the home by Caregiver, Michelle Mangaong. LPA Farlow asked Caregiver Michelle to notify the administrator of my arrival. LPA met with Administrator, Ahmad Abdallatef and explained the elements of the complaint. Allegation 1: Staff are not ensuring that residents are administered their medication(s) as prescribed. Regarding the allegation that Staff are not ensuring that residents are administered their medication(s) as prescribed. LPA interviewed four (4) out of four (4) residents and the interview reveal that staff are assisting residents with medication, however after LPA reviewed and audited the MARS log it was found that 3 out of 3 resdients MARS were missing medications and initial were not completed on the MARS. Also, interview with Reporting party, resident, and facility staff revealed there hasthe state’s words, verbatim · CDSS document, Apr 25, 2025 · control 56-AS-20250423113821

Allegation investigated: Neglect/Lack of Care and Supervision.

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Ahmad Abdallatef, Administrator and explained the purpose of the visit. The investigation was conducted by Department staff which consisted of staff interviews, resident interviews and document review. Allegation, Facility staff failed to properly supervise resident resulting in resident sustaining burns on chest and hands. Department staff conducted three (3) staff interviews. Three (3) out of the Three (3) staff stated they were aware that Resident one, R1 had a history of burning himself with cigarettes while smoking. R1 would remove filters from the cigarette and hold the lighted cigarette in hand, burning fingertips and lips. Staff revealed that R1 had a prior incident of burning self, using the stove to light a cigarette. ***Continued on LIC9099C*** Substantiatedthe state’s words, verbatim · CDSS document, Apr 21, 2025 · control 56-AS-20240118124025

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility did not seek medical attention in a timely manner. Resident was left on the ground for a long period of time.

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. Residents interviewed stated they did not know or remember if Resident 1 (R1) fell and remained on the floor for an extended period. However, interviews with staff members and a review of records indicated that R1 did have a fall and was assisted promptly, receiving medical attention on the same day. LPA was unable to interview R1 as their new location could not be identified. Based on the investigation, the allegation is unsubstantiated. This means that although the allegation may have occurred or is valid, there is not enough evidence to prove whether the alleged violations did or did not occur.An exit interview was conducted with Yusef Nofal-Administrator and provithe state’s words, verbatim · CDSS document, Oct 22, 2024 · control 56-AS-20240508151002

Allegation investigated: 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 dithe state’s words, verbatim · CDSS document, Oct 22, 2024 · control 56-AS-20240404104547

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.