EXTENDED FAMILY HOME

Assisted Living Home | Assisted Living

Facility Information

Address 2556 East Hermosa Vista Drive, Mesa, AZ 85213
Phone 4805867286
License AL1250H (Active)
License Owner EVMARK CORP.
Administrator MARTA C LOGAN
Capacity 10
License Effective 1/1/2025 - 12/31/2025
Services:
1
Total Inspections
1
Total Deficiencies
0
Complaint Inspections

Inspection History

INSP-0067364

Complete
Date: 4/25/2024
Type: Compliance (Annual)
Worksheet: Assisted Living Home
SOD Sent: 2024-05-23

Summary:

The following deficiency was found during the on-site compliance inspection conducted on April 25, 2024:

Deficiencies Found: 1

Deficiency #1

Rule/Regulation Violated:
A. A manager shall ensure that:
10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults.
Evidence/Findings:
Based on documentation review, record review and interview, the manager failed to ensure a caregiver provided current documentation of first aid training and cardiopulmonary resuscitation (CPR) training certification specific to adults for two of three caregivers reviewed. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.

Findings include:

1. Review of the facility's policies and procedures revealed a policy titled "CPR, First AID". This policy stated " Extended Family Homes requires that a caregiver obtains and provides documentation of cardiopulmonary resuscitation training specific to adults, which includes a demonstration of the caregiver's ability to perform cardiopulmonary resuscitation...."

2. Review of E3's personnel record revealed a first aid card and CPR card which expired in January of 2024.

3. Review of E4's CPR card revealed that E4's CPR card was issued online through the National CPR Foundation, which is an online-only training program that did not include a demonstration of the caregiver's ability to perform CPR.

3. Review of the April 2024 personnel schedule revealed E3 worked the day shift on April 25, 2024 and E4 worked the day shift on April 24, 2024.

4. In an interview, E1 confirmed that E3 did not have a current CPR card and that E4 acquired their certification through an online program.