Inspection Details

Inspection #
INSP-0084457
Inspection Date(s)
1/28/2025
Status
Complete
Inspection Type
Complaint;Compliance (Annual)
Worksheet Type
Assisted Living Home
Certificate Number
AL3387H
Location Type
โ€”

Initial Comments

The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00213675 conducted on January 28, 2025:

Statement of Deficiency

2 deficiencies found
Deficiency #1
No Plan
Rule
A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: b. Free from a condition or situation that may cause a resident or other individual to suffer physical injury;
Evidence
Based on observation and interview, the manager failed to ensure the premises were free from a condition or situation that may cause a resident or other individual to suffer physical injury. The deficient practice posed potential egress dangers to residents. Findings include: 1. The Compliance Officer observed that the facility had a pool fence that was constructed from chicken wire surrounding the south side of the facility's pool. 2. In an interview, E1 confirmed what the Compliance Officer observed.
Plan of Correction
Plan of Correction not provided in the inspection report.
Deficiency #2
No Plan
Rule
A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;
Evidence
Based on observation and interview, the manager failed to ensure poisonous or toxic materials were maintained in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. The Compliance Officer observed that the facility's cupboard underneath the kitchen sink was unlocked and residents had access to the following chemicals: - Great Value Low-Splash Bleach - GROUT-EEZ 2. In an interview, E1 confirmed what the Compliance Officer observed. -
Plan of Correction
Plan of Correction not provided in the inspection report.