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Source: AZ State Licensing Agency
The following deficiencies were found during the on-site compliance inspection conducted on September 12, 2023:
Based on documentation review and interview, the manager failed to ensure a pest control program in compliance with R3-8-20l(C)(4) was implemented and documented. Findings include: R3-8-201(C)(4) Applicator licensure An individual may not provide pest management services at a school, child care facility, health care institution, or food-handling establishment unless the individual is a certified applicator in the certification category for which services are being provided. 1. The Compliance Officer requested to review the facility's pest control program. However, the requested documentation was not provided for review. 2. In an interview, E3 reported the facility did not document a pest control program.
Based on record review and interview, the manager failed to ensure a written service plan was reviewed and updated at least once every three months, for one resident sampled who received directed care services. The deficient practice posed a risk as a service plan reinforces and clarifies services to be provided to a resident. Findings include: 1. A review of R3's (accepted in 2022) medical record revealed a written service plan for directed care services dated in April 2023. However, a reviewed and updated service plan was not available for review. 2. In a telephonic interview conducted on September 12, 2023, E3 acknowledged a reviewed and updated service plan for R3 was not available for review.
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