Arizona Buttes Assisted Living Home LLC

Based on interview and record review, the manager failed to maintain a personnel record for each employee which included the items required by this rule, for one of four employees sampled. The deficient practice posed a risk as required information could not be verified for an employee. Finding include: 1. A review of documentation revealed a staffing schedule. The staffing schedule revealed E3 was hired as an assistant caregiver, however E3 was not added to the schedule. 2. A review of personnel records revealed no personnel records for E3. 3. In an interview, E2 reported E3 worked multiple shifts from January 8, 2025 to January 24, 2025. E2 acknowledged no personnel records were available for E3 before the end of the inspection

Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with A.R.S. \'a7 36-411, for one of three personnel members sampled. Findings include: 1. A review of E3's personnel record (date of hire January 1, 2024) revealed E3 was hired as an assistant caregiver. The record included a photocopy of a valid fingerprint clearance card and an application for employment indicating a work history between July 2018 and November 2022. However evidence of employment history after November 2022 was unavailable for review. Further, evidence of good faith efforts to contact prior employers to obtain information or recommendations relevant to E3's fitness to work in a health care institution were not available for review. 2. In an interview, E1 reported E3 worked as an assistant caregiver at facilities in Arizona between November 2022 and December 2023. E1 acknowledged E3's personnel record did not include evidence of E3's prior employment history between November 2022 and December 2023, and E3's personnel record did not include evidence of good faith efforts to contact previous employers.

Based on record and documentation review and interview, the manager failed to ensure a caregiver provided documentation of evidence of freedom from infectious tuberculosis (TB) before providing services at the facility and as specified in R9-10-113, for one of three caregivers sampled. Findings include: 1. A review of E2's (hired November 30, 2023) personnel record revealed documentation of E2's freedom from TB dated September 17, 2022. However, evidence of documentation to demonstrate E2's current freedom from TB was available for review. Further, evidence of E2's screening and risk assessment was unavailable for review. 2. A review of the facility staffing schedule for January 2024 revealed E2 worked as a caregiver on January 1 - 4, 7 - 11, 13 - 17, 2024. 3. In an interview, E1 agreed E2's personnel record did not contain evidence of E2's freedom from infectious TB or E2's screening and risk assessment prior to having more than 8 hours per week of direct interaction with residents.

Based on observation and interview, the manager failed to ensure the hot water temperature was maintained between 95 \'b0F and 120 \'b0F in areas of the assisted living facility used by residents. Findings include: 1. The Compliance Officer observed the hot water temperature measured at 128.6 \'b0F in a shared bathroom. 2. In an interview, E1 acknowledged the hot water temperatures were not maintained between 95 \'b0F and 120 \'b0F.