Inspection Details

Inspection #
INSP-0063274
Inspection Date(s)
9/12/2023
Status
Complete
Inspection Type
Compliance (Annual)
Worksheet Type
Assisted Living Home
Certificate Number
AL8713H
Location Type

Initial Comments

The following deficiency was found during the on-site compliance inspection conducted on September 12, 2023:

Statement of Deficiency

1 deficiency found
Deficiency #1
✓ Plan Provided
Rule
A. A governing authority shall: 7. Except as provided in subsection (A)(6), notify the Department according to A.R.S. § 36-425(I) when there is a change in the manager and identify the name and qualifications of the new manager;
Evidence
Based on documentation review and interview, the governing authority failed to notify the Department according to Arizona Revised Statutes (A.R.S.) \'a7 36-425(I) when there was a change in the manager and identify the name and qualifications of the new manager. Findings include: 1. A review of Department documentation revealed E2 was the licensed manager effective January 30, 2019. 2. In an interview, E1 and E2 reported E1 became the new manager on July 12, 2023. 3. A review of Department documentation revealed no evidence to indicate the governing authority notified the Department when there was a change in the manager. 4. In an interview, E1 and E2 acknowledged the facility did not notify the Department of a change in the facility's manager in July 2023.
Plan of Correction
Permanent Correction Date
2023-11-20