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Source: AZ State Licensing Agency
The following deficiencies were found during the on-site compliance inspection conducted on October 31, 2024:
Based on observation, documentation review, record review, and interview, the chief administrative officer failed to establish, document, and implement tuberculosis (TB) infection control activities including baseline screening consisting of assessing risks of prior exposure to infectious TB, and determining if the individual had signs or symptoms of TB for one of seven employess sampled. The deficient practice posed a potential TB exposure risk to residents. Findings include: 1. The compliance officer observed E3 to be on-site at the facility, upon arrival. 2. A review of the facility's document titled "Employee Work Schedule" dated October 2024 which reflected E3 was scheduled to work the night and day shift on October 30, 2024 and October 31, 2024. 3. A review of E3's personnel record revealed there was no documentation of baseline screening consisting of assessing risks of prior exposure to infectious TB, and determining if E3 had signs or symptoms of TB. 4. In an interview, E1 reviewed and acknowledged E3's personnel file did not include documentation of baseline screening consisting of assessing risks of prior exposure to infectious TB, and determining if E3 had signs or symptoms of TB.
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