Inn at Freedom Plaza, the

Based on record review, documentation review, and interview, the manager failed to ensure a caregiver provided documentation of completing a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA Board), for one of one individual sampled who was hired as a caregiver . The deficient practice posed a risk if E4 was not qualified to provide the required services. Findings include: 1. Review of E4's personnel record revealed E4 was hired as a caregiver and had a caregiver training certificate from Platinum Training Services ALTP #0152 dated April 21, 2013 . No other documentation of completing a caregiver training program approved by the Department or the NCIA Board was available. 2. Review of NCIA Board documentation revealed ALTP#0152 was a caregiver training program called Comprehensive Training Services, LLC. 3. Review of the https://azcg.tmutest.com/search website revealed no documentation of a caregiver training certificate for E4. 4. Review of facility documentation revealed a personnel schedule dated March 2024. The personnel schedule revealed E4 was scheduled to work from 6:00AM to 2:00PM on the following dates: -March 4-5, 2024; -March 7-12, 2024; -March 14-15, 2024; -March 18-19, 2024; -March 21-23, 2024; -March 26, 2024; and -March 28-30, 2024. 5. In an interview, E1 reported E4 worked as a caregiver and acknowledged the lack of consistency in E4's caregiver certificate. E1 acknowledged E4 did not have documentation of completing a caregiver training program approved by the Department or the NCIA Board.