Hands of Care

Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with A.R.S. § 36-411 for two of the four employees reviewed. The deficient practice posed a risk as the Department was provided false or misleading information. Findings include: 1. A.R.S. § 36-411 states, "A...as a condition of employment in a residential care institution...employees and owners of residential care institutions...shall have valid fingerprint clearance cards... C. Owners shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution..." 2. A review of the facility's personnel schedule for August 2025 revealed E3 and E4 were scheduled to work. 3. A review of E3's personnel record revealed that E3 worked as a facility caregiver and had a hire date in December 2018. The personnel record revealed a fingerprint card issued on January 10, 2024. However, a review of the website from the Arizona Department of Public Safety revealed that the fingerprint card belonged to another person, O1, who is not E3. 4. A review of E4's personnel record revealed E4 worked as the facility caregiver and had a hire date of December 2014. The personnel record revealed a fingerprint card issued on March 4, 2019. However, a review of the website from the Arizona Department of Public Safety revealed that E4's fingerprint card expired on March 4, 2025. 5. In an interview, E1 reported that E3 left on January 31, 2025. However, E3 was on the work schedule from January to August. A review of disaster drills and evacuation drills revealed that E3 participated in all the drills for February, May, and August. 6. In an interview, E1 reported that E4 left in May 2025. However, E4 was on the work schedule from January to August. A review of disaster drills and evacuation drills revealed that E4 participated in all the drills for February, May, and August. 7. A review of the facility documentation revealed that employee education is given every month. The document indicated that E3 and E4 completed employee education each month. 8. In an interview, E1 acknowledged that E3 and E4 did not have a valid fingerprint clearance card, and the facility was not in compliance with the requirements in A.R.S. § 36-411.

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. The deficient practice posed a risk if employees did not have the skills and knowledge to meet the needs of residents. 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 would be verified and documented. 2. In an interview, E1 acknowledged that a policy and procedure covering how a caregiver's or assistant caregiver's skills and knowledge would be verified and documented was not available for review at the time of the inspection.