Moreno's Assisted Living LLC

Based on record review and interview, the manager failed to ensure a personnel record for each employee or volunteer included documentation of compliance with the requirements in A.R.S. \'a7 36-411(A) and (C), for two of two personnel members sampled. The deficient practice posed a risk if the employees were a danger to a vulnerable population. Findings include: 1. A.R.S. \'a7 36-411(C) states, "C. Owners shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution, nursing care institution or home health agency. 2. Verify the current status of a person's fingerprint clearance card." 2. A review of E1's personnel record revealed a document titled "Employment Application" with a signed date of September 1, 2022, however, no evidence of documentation of contact with E1's previous employers to obtain information or recommendations that may be relevant to E1's fitness to work in a residential care institution. 3. A review of E1's personnel record revealed a fingerprint clearance card. There was no documentation of the current status of E1's fingerprint clearance card. 4. A review of E2's personnel record revealed a document titled "Employment Application" with a signed date of January 16, 2017, however, no evidence of documentation of contact with E2's previous employers to obtain information or recommendations that may be relevant to E2's fitness to work in a residential care institution. 5. A review of E2's personnel record revealed a fingerprint clearance card. There was no documentation of the current status of E2's fingerprint clearance card. 6. In an interview, E3 acknowledged reference checks were not completed and documented for E1 and E2. Technical assistance was provided on both the reference checks and verifying the status of fingerprint cards during the on-site compliance inspection conducted on September 26, 2022.

Based on record review and interview, the manager failed to ensure the service plan for a resident receiving directed care services included the requirements in R9-10-815(C)(1-5), for one of two directed care residents sampled. Findings include: 1. A review of R1's medical record revealed documentation of a service plan dated September 2, 2023, indicating R1 was receiving directed care services. However, the service plan did not contain the following: - Strategies to ensure a resident's personal safety. 2. In an interview, E1 acknowledged the service plans did not contain all of the requirements for directed care residents. Technical assistance was provided during the on-site compliance inspection conducted on September 26, 2022.

Based on record review and interview, the manager failed to ensure the service plan for a resident receiving directed care services included the requirements in R9-10-815(C)(1-5), for one of two directed care residents sampled. Findings include: 1. A review of R1's medical record revealed documentation of a service plan dated September 2, 2023, indicating R1 was receiving directed care services. However, the service plan did not contain the following: - Strategies to ensure a resident's personal safety; and - Documentation of the resident's weight, or from a medical practitioner stating that weighing the resident is contraindicated. 2. In an interview, E1 acknowledged the service plans did not contain all of the requirements for directed care residents. Technical assistance was provided during the on-site compliance inspection conducted on September 26, 2022.