Md Care Homes, LLC

Based on documentation review, observation, record review, and interview, the governing authority failed to ensure compliance with A.R.S. § 36-411 for two of the three personnel sampled. The deficient practice posed a risk if E1 and E2 were a danger to a vulnerable population. Findings include: 1. A.R.S. § 36-411(C)(2) states, "Each residential care institution, nursing care institution and home health agency shall make documented, good faith efforts to: 2. Verify the current status of a person’s fingerprint clearance card." 2. A review of the Arizona Department of Public Safety website revealed E1's and E2's fingerprint clearance cards were valid. 3. During the on-site compliance inspection, the Compliance Officers observed E1 and E2 at the facility, providing services to residents. 4. A review of E1's and E2's personnel records revealed documentation of a valid FPCC dated prior to E1's and E2's hire date. However, the records did not include documentation of the facility's verification of E1's and E2's FPCC. 5. In an interview, E1 acknowledged that E1's and E2's FPCC cards were not verified, and the governing authority failed to ensure compliance with A.R.S. § 36-411(C)(2).

Based on observation and interview, the manager failed to ensure there was a current toxicology reference guide that was available for use by personnel members. This posed a health and safety risk to the resident if the caregiver was unable to reference a toxic material. Findings include: 1. The Compliance Officer requested the current toxicology reference guide. However, the toxicology reference guide was not provided to the department for review. 2. In an interview, E1 acknowledged that the facility did not have a toxicology reference guide available for use by personnel members.