Maui Adult Care Home, LLC

Based on observation, record review, documentation review, and interview, the manager failed to ensure a trained caregiver was present on the assisted living facility's premises when the manager was not present. The deficient practice posed a risk as no qualified employee was present to meet a resident's needs. Findings include: 1. When the Compliance Officer arrived, the manager was not present. E3 was the only employee at the facility with two residents. 2. There was no personnel record for E3, and no documentation that E3 had completed a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers provided. Therefore, E3 was not qualified to be left alone with the residents based on the lack of caregiver training. 3. A review of the azcg.tmutest.com website revealed no documentation of a caregiver training certificate for E3. 4. In an interview, E3 reported the personnel file was "located at another facility". E3 reported to have worked at this facility since June 2024. E3 acknowledged neither a manager or caregiver was present at the facility when the Compliance Officer arrived.

Based on observation, record review, and interview, the manager failed to ensure a personnel record was available for one of three employees reviewed. The deficient practice posed a risk as required information could not be verified for E3. Findings include: 1. When the Compliance Officer arrived, E3 was the only employee present with two residents. 2. Review of the personnel records revealed no record for E3. 3. During an interview, E3 reported being employed at this facility sine June 2024. E3 acknowledged a personnel record was not available for E3.

Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who could access the medication. Findings include: 1. During the facility tour with E3, the Compliance Officer observed a closet in the kitchen that held two residents' medications unlocked. This closet was equipped with a lock, however it was not locked. 2. In an interview, E3 acknowledged medications were not stored in a separate locked room, closet, cabinet, or self-contained unit. E3 reported not having a key to the closet.