Homestead Manor Assisted Living, LLC

Based on documentation review, observation, record review, and interview, the manager failed to ensure an assistant caregiver interacted with residents under the supervision of a manager or caregiver. The deficient practice posed a risk as E1 and E2 were not qualified to provide the required services unsupervised. Findings include: 1. Arizona Revised Statutes (A.R.S.) § 36-401(A)(49) states "[s]upervision" means "directly overseeing and inspecting the act of accomplishing a function or activity." 2. During the environmental inspection of the facility, the Compliance Officers observed E1 and E2 working alone at the facility and providing direct services to residents. After the Compliance Officer arrived, E2 called E4 and informed E4 that the Compliance Office was there for an inspection. E4 arrived at the facility approximately 2 hours later. 3. A review of E1's and E2’s personnel records revealed E1 and E2 were hired as an assistant caregiver. There was no documentation in E1's and E2’s personnel records to indicate E1 and E2 completed an approved caregiver training program. 4. In an interview, E3 and E4 acknowledged E1 and E2 were assistant caregivers and E1 and E2 provided services to residents without being under the direct supervision of a caregiver or manager.

Based on observation and interview, the manager failed to ensure at least the manager or a caregiver was present at an assisted living home when a resident was present in the assisted living home. The deficient practice posed a risk as no qualified employee was present to meet a resident's needs. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed E1 and E2 working alone at the facility. E1 and E2 reported E1 and E2 were hired as assisted caregivers E2 called E4 and informed E4 that the Compliance Office was there for an inspection. E4 arrived at the facility approximately 2 hours later. 2. In an interview, E3 and E4 acknowledged no manager or caregiver at the facility when residents were present.

Based on documentation review, record review, and interview, 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. During the environmental inspection of the facility, the Compliance Officer observed E1 and E2 working alone at the facility. E1 and E2 reported E1 and E2 were hired as assisted caregivers 2. A review of personnel records revealed no personnel records for E1 and E2. 3. In an interview, E3 and E4 acknowledged no personnel records were available for E1 and E2 before the end of the inspection.