Adela Lupea

Based on interview and record review the governing authority failed to ensure compliance with A.R.S. \'a7 36-411, for one of two employees, which required an employee to have a valid fingerprint card. The deficient practice posed a safety risk to the residents. Findings include: A.R.S. \'a7 36-411 states, "A... as a condition of licensure or continued licensure of a residential care institution, a nursing care institution or a home health agency and as a condition of employment in a residential care institution, a nursing care institution or a home health agency, employees and owners of residential care institutions, nursing care institutions or home health agencies or contracted persons or volunteers who provide medical services, nursing services, behavioral health services, health-related services, home health services or supportive services and who have not been subject to the fingerprinting requirements of a health professional's regulatory board pursuant to title 32 shall have valid fingerprint clearance cards that are issued pursuant to title 41, chapter 12, article 3.1 or shall apply for a fingerprint clearance card within twenty working days of employment or beginning volunteer work...C. Owners shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution..." 1. In an interview, E1 reported E2 looks after the residents when E1 leaves the facility. 2. A review of E2's personnel record revealed E2's hire date was January 3, 1994. The personnel record included a current fingerprint card. 3. A review of the DPS fingerprint clearance card database revealed E2's fingerprint clearance card was "invalid." 4. During an interview, E1 acknowledged E2 worked in the facility and acknowledged the fingerprint clearance card was invalid.

Based on interview and record review, the manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA Board), for one of two employees sampled. The deficient practice posed a risk if the individuals were not qualified to provide the required services. Findings include: 1. In an interview, E1 reported E2 looks after the residents, alone, when E1 leaves the facility. 2. A review of E2's personnel record revealed E2's hire date was January 3, 1994. A further review of E2's personnel record revealed no documentation of completion of a caregiver training program approved by the Department or the NCIA Board. 3. A review of the NCIA Board verification of caregiver training portal (https://az.tmuniverse.com/) revealed E2 had not completed a caregiver training program. 4. In an interview, E1 acknowledged E2 did not have documentation of completion of a caregiver training program.