Verde Valley Assisted Living

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were inaccessible to residents. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed a cleaning cart sitting outside in a common area. The cleaning cart had a padlocked compartment. However, the padlock was not locked, and the following chemicals were accessible: -A bottle of "Fabuloso" multi-purpose cleaner; -A bottle of "Window Clean"; -A bottle of "Ecolab Lemon Lift" kitchen cleaner; and -A bottle of "Crew" toilet bowl cleaner. 2 . In an exit interview, the findings were discussed with E1 an no additional information was provided.

Based on record review and interview, the manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers for three of six caregivers sampled. Findings include: 1 . A review of E3's, E4's, and E7's personnel records revealed documentation of completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers was not available for review at the time of inspection. 2 . In an interview, E1 reported E3, E4, and E7 had documentation of completion of caregiving training program completion verified by the facility. E1 reported a previous employee who handled personnel files was not maintaining the files correctly, but had verified E3's, E4's, and E7's caregiver certifications previously. E1 acknowledged E3's, E4's, and E7's personnel records had not contained documentation of completion of a caregiver training program at the time of inspection.

Based on record review and interview, the manager failed to ensure a caregiver's skills and knowledge were verified and documented before the caregiver or assistant caregiver provided physical health services or behavioral health services, for three of six caregivers sampled. Findings include: 1 . A review of E3's, E4's, and E7's personnel records revealed documentation of skills and knowledge verified and documented before providing services was not available for review at the time of inspection. 2 . In an interview, E1 acknowledged E3's, E4's, and E7's personnel records did not include documentation of skills and knowledge verification at the time of inspection.

Based on record review and interview, the manager failed to ensure a caregiver received orientation specific to duties to be performed by the caregiver before the caregiver provided assisted living services to a resident, for four of six caregivers sampled. Findings include: 1 . A review of E3's, E4's, E5's, and E7's personnel records revealed documentation of orientation specific to duties to be performed by the caregiver was not available for review at the time of inspection. 2 . In an interview, E1 acknowledged E3's, E4's, E5's, and E7's personnel records did not include documentation of orientation at the time of inspection.

Based on documentation review, record review and interview, the manager failed to ensure a personnel record for each employee included documentation of cardiopulmonary resuscitation training (CPR) for four of six caregivers sampled. Findings include: 1 . A review of NationalCPRfoundation.com revealed a FAQ section. The FAQ section revealed a question which stated, "Do you offer hands-on training?" which was answered, "No, we do not offer hands-on training." 2 . A review of E3's, E4's and E7's personnel record revealed documentation of CPR training. However, the documentation was provided from NationalCPRfoundation. 3 . A review of E6's personnel record revealed documentation of CPR training was not available for review at the time of inspection. 4 . In an interview, E1 reported E3, E4, and E7 were attending a CPR class which included a demonstration that same day, but the class was cancelled due to the inspection. E1 acknowledged E3, E4, E6, and E7 did not have valid documentation of CPR certification at the time of inspection.