Hope Light Assisted Living LLC

Based on documentation review and interviews, the manager failed to ensure that personnel provided appropriate first aid in accordance with its certification training for first aid before the arrival of emergency medical services to a resident who is in distress and to a non-injured resident who has fallen, as required under Arizona Revised Statutes (A.R.S.) 36-420.B.1-3. Findings include: 1. A review of Department documentation revealed an intake report dated November 16, 2023, which included sworn testimony that stated, "Staff/facility insufficient to meet patient need for safety and wellbeing. Staff failed to recover [R3] per ARS 36-420. Inappropriate utilization of the 911 system. On-Scene Narrative (Author): A care home staff member states that the patient fell, and the care staff did not want to lift the patient. Patient was adamant, had no complaints, and just needed to be helped into bed. The caregiver then told E27 that there is only one person working tonight and does not have the staff to assist with lifting the patient. 2. In an interview, E1 acknowledged that first aid had not been provided before the arrival of emergency medical services for a noninjured resident who had fallen, appeared to be uninjured, and was unable to reasonably recover independently.

Based on documentation review and interviews, the manager failed to ensure that a caregiver who was able to read, write, understand, and communicate in English was on the assisted living facility's premises. The deficient practice posed a risk if the caregiver was unable to understand and communicate effectively with residents, other individuals involved in resident care, the Department, and emergency services. Findings include: 1. A review of Department documentation revealed an intake report dated January 18, 2024, which included sworn testimony that stated Hope Light Assisted Living caregivers speak mainly Farsi. Staff have a hard time finding resident information. 2. In an interview, E1 acknowledged that at the time of the incident, no caregiver who spoke English was on site and able to communicate with the first responder.

Based on observation, documentation review, and interview, the manager failed to ensure that the cat was vaccinated against rabies. The deficient practice posed a health and safety risk to residents if an animal was not vaccinated against rabies. Findings include: 1. During the environmental tour, the Compliance Officer observed O1, a cat, roaming around the facility. 2. A review of the facility documentation revealed no pet record for O1 containing a rabies vaccination. 3. During an exit interview, findings were discussed with E1 and E2, and no additional information was provided.