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Source: AZ State Licensing Agency
The following deficiencies were found during the on-site compliance inspection conducted on March 11, 2024:
Based on documentation review and interview, the manager failed to establish, document, and implement policies and procedures to protect the health and safety of a resident to cover qualifications, including required skills and knowledge, education, and experience for employees and volunteers. Findings include: 1. A review of the facility's policies and procedures revealed no documentation of a policy covering how a caregiver's or assistant caregiver's skills and knowledge are verified and documented. 2. In an interview, E1 acknowledged a policy and procedure covering how a caregiver's or assistant caregiver's skills and knowledge are verified and documented was not available for review at the time of the inspection.
Based on documentation review, record review and interview, the manager failed to ensure a personnel record for each employee included valid documentation of cardiopulmonary resuscitation training (CPR) and first aid training, for one of two employees sampled. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency. Findings include: 1. A review of facility documentation revealed a policy titled "First Aid and CPR Training." The policy stated "Method and content of CPR training which includes the ability to perform and demonstrate cardio-pulmonary resuscitation." 2. A review of E2's personnel record revealed a CPR and first aid training certification from "NationalCPRFoundation" dated December 13, 2023. However, training from "NationalCPRFoundation" is online only and does not include a demonstration of the employee's ability to perform CPR. 3. In an interview, E1 acknowledged E2's CPR and first aid training was completed online and did not include a demonstration of E2's ability to perform CPR.
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