Dayflower Care Home, LLC

Based on documentation review, observation, record review, and interview, the manager failed to ensure that an assistant caregiver interacted with residents under the supervision of a manager or caregiver. The deficient practice posed a risk if the individuals were not trained to provide the required services. Findings include: 1. A.R.S. \'a7 36-401.A.49. "Supervision" means direct overseeing and inspection of the act of accomplishing a function or activity. 2. Upon arriving at the facility, the Compliance Officer observed E3 alone in the facility and providing services to residents. 3. A review of E3's personnel record revealed a job title of "Assistant Caregiver." E3's personnel record did not contain documentation of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers. 4. In an interview, E1 reported E3 was an assistant caregiver, and did not possess a caregiver license. E1 acknowledged E3 interacted with residents not under the supervision of a manager or caregiver.

Based on observation and interview, the manager failed to ensure a bell, intercom, or other mechanical means to alert employees to a residents needs or emergencies was available in a bedroom being used by a resident receiving personal care services. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. The Compliance Officers observed no bell, intercom, or other mechanical means to alert the caregivers and the assistant caregivers to the residents needs or emergencies in R1 and R2's room. 2. In an interview, E1 acknowledged R1 and R2 did not have a bell, intercom, or other means to alert employees to needs or emergencies.

Based on documentation review, observation, and interview, the manager failed to ensure the means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort, controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. Review of the license issued by the Department revealed the facility was authorized to provide directed care services. 2. During the environmental tout of the facility, the Compliance Officer observed the outside area, in the backyard, did not allowed residents to be a least 30 feet away from the facility. The sliding glass door next to the kitchen table leading out to the backyard did not have a device that alerted employees to the egress of a resident to the outside area. 3. During an interview, E1 acknowledged the residents did not have access to an outside area controlling or alerting employee of the egress of the resident. This is a repeat deficiency from the compliance inspection completed on September 26, 2022.

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the facility were stored in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of residents with access to the materials. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed an open bottle of Pine-Sol, All Purpose Cleaner with Bleach spray bottle, Clorox laundry detergent, Disinfectant spray, and Zep Air and Fabric odor eliminator in an unlocked laundry room. The room had a locking device but it was unlocked at the time of inspection. 2. In an interview, E1 acknowledged the aforementioned poisonous or toxic materials were not stored in a locked location and inaccessible to residents.