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Source: AZ State Licensing Agency
The following deficiencies were found during the on-site compliance inspection conducted on June 16, 2025:
Based on observation and interview, for a facility that provided directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area that controlled or alerted employees of the egress of a resident from the facility. Findings Include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. During an environmental inspection of resident room six, the Compliance Officer observed a door that led to the backyard. The door had a deadbolt, but it was unlocked and had no alarm. 3. In an interview, E1 acknowledged that resident room six had no means of exiting the facility that provided access to an outside area that controlled or alerted employees of the egress of a resident from the facility.
Based on observation and interview, the manager failed to ensure the premises and equipment used at the assisted living facility are free from a condition or situation that may cause a resident or other individual to suffer physical injury. Findings Include: 1. During an environmental inspection of the backyard, the Compliance Officer observed wooden planks with nails sticking out leaning against the wall. There was also a dresser with the drawers stacked on top of each other. 2. During an environmental inspection of the dining room, the Compliance Officer observed 2 wooden planks on the floor next to the kitchen table. 3. In an interview, E1 acknowledged that the premises and equipment used at the assisted living facility were not free from a condition or situation that may cause a resident or other individual to suffer physical injury.
Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications, and were inaccessible to residents. Findings Include: 1. During an environmental inspection of the backyard, the Compliance Officer observed 2 buckets of All Purpose Ready-Mixed Joint Compound, and one of the buckets had no lid. .2. In an interview, E1 acknowledged that poisonous or toxic materials stored by the assisted living facility were not maintained in a locked area, and were accessible to residents.
No deficiencies were found during the on-site compliance inspection conducted on May 10, 2023. Based on this deficiency-free compliance inspection, the Department shall not conduct a compliance inspection for twenty-four months, according to A.R.S. \'a7 36-425(E). Subsection (E) does not prohibit the Department from enforcing licensing requirements as authorized by A.R.S. \'a7 36-424.
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