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Source: AZ State Licensing Agency
The following deficiencies were found during the on-site compliance inspection conducted on June 30, 2025:
Based on observation and interview, the manager failed to ensure there was a 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, which provided access to an outside area which 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 . During an environmental inspection of the facility, the Compliance Officer observed the front and back doors of the facility had an alert. However, the alerts were not activated for the front or back doors of the facility. The Compliance Officer observed the staff at the facility going around the facility and turning on the alerts. 2 . During an environmental inspection of the facility, the Compliance Officer observed a door leading from a resident's room to the backyard. The door had an alert. However, the alert was not functional at the time of inspection. 3 . In an interview, the Compliance Officer asked E2 if the staff had just turned on the alerts in the facility after the Compliance Officer had arrived. E2 reported the staff had gone and turned on the alerts. E2 reported the alerts were turned off in the morning. 4 . In an interview, E1 acknowledged the alerts for the doors were turned off or not functional at the time of inspection.
Based on observation and interview, the manager failed to ensure medication stored by an assisted living facility was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed a magnetically locked medication cabinet. The Compliance Officer also observed the magnet key located directly to the left of the cabinet. The Compliance Officer was able to use the magnetic key to unlock and access the medication cabinet. 2 . In an interview, E1 acknowledged medication was accessible because the key was left out for the locks.
No deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00205622 conducted on February 7, 2024. Based on this deficiency-free compliance inspection, the Department shall not conduct a compliance inspection for twenty-four months, according to A.R.S. \'a7 36-425(E). Subsection (E) does not prohibit the Department from enforcing licensing requirements as authorized by A.R.S. \'a7 36-424.
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