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Source: AZ State Licensing Agency
The following deficiency was found during the on-site abbreviated initial follow-up inspection attempted on August 15, 2024, and completed on September 4, 2024:
Based on documentation review, observation, and interview, the manager failed to ensure a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort 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 egress of a resident from the facility. Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. During the environmental inspection of the facility, the Compliance Officers observed a sliding glass door in the master bedroom. The Compliance Officers observed the door did not have a control installed but did have an alert installed. However, upon opening the door, the Compliance Officers observed the alert did not sound. 3. In an interview, E3 reported R1 wandered throughout the facility often, stating, "[R1's] everywhere." E1 acknowledged the door did not control or alert employees of the egress of a resident from the facility.
No deficiencies were found during the on-site initial inspection conducted on April 4, 2024, and the off-site documentation review completed on May 31, 2024.
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