Quality Senior Care

Based on record review and interview, the manager failed to ensure a manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for two of three employees sampled. Findings include: 1 . A review of E1's and E2's personnel records revealed documentation of TB skin tests. However, documentation of a TB questionnaire was not available for review at the time of inspection. 2 . In an interview, E2 acknowledged E1's and E2's personnel files did not contain documentation of a TB questionnaire at the time of inspection.

Based on documentation review and interview, the manager failed to ensure if pets or animals are allowed in the assisted living facility, pets or animals were licensed consistent with local ordinances. Findings include: 1 . A review of facility documentation revealed a pet record for O1. O1 had documentation of vaccination for rabies. However, O1 had no documentation of registration with Maricopa County at the time of inspection. 2 . In an interview, E2 acknowledged O1 had no documentation of registration with Maricopa County at the time of inspection.

Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. The deficient practice posed a risk if employees were unable to implement the facility's disaster plan in an emergency. Findings include: 1. A review of facility documentation revealed no documentation to indicate the facility's disaster plan was reviewed at least once every 12 months. 2. In an interview, E1 acknowledged the disaster plan required in subsection (A)(1) was not reviewed at least once every 12 months.

Based on documentation review and interview, the manager failed to ensure an employee disaster drill was conducted on each shift at least once every three months and documented. The deficient practice posed a risk if employees were unable to implement a disaster plan. Findings include: 1. A review of facility documentation revealed a document titled "Monthly Work Schedule." The document indicated the facility operated on two shifts: "Day (D) 7am to 7pm" and "Night (N) 7pm to 7am." 2. A review of facility documentation revealed disaster drills conducted on the following dates, times and shifts: -June 1, 2023, 7:00 PM, Night Shift; -September 1, 2023, 11:00 AM; Day Shift; and -December 1, 2023, 3:00 PM; Day Shift. No other documentation of disaster drills was provided for review. 3. In an interview, E1 acknowledged an employee disaster drill was not conducted on each shift at least once every three months and documented.