Address
13024 North 154th Lane, Surprise, AZ 85379
Phone
6234765741
License
AL9128H (Active)
License Owner
HOME CARE AT MARLEY PARK INC
Administrator
MARIANA O POPESCU
Capacity
10
License Effective
9/1/2025 - 8/31/2026
Services:
Directed care services
Personal care services
Supervisory care services
2
Total Inspections
2
Total Deficiencies
0
Complaint Inspections
Inspection History
INSP-0071003
Complete
Date: 8/19/2024
Type: Change of Service
Worksheet: Assisted Living Home
SOD Sent: 2024-08-20
Summary:
No deficiencies were found during the on-site modification for a floor plan change but not a change in capacity that was completed on August 19, 2024.
✓ No deficiencies cited during this inspection.
INSP-0071001
Complete
Date: 9/18/2023
Type: Compliance (Annual)
Worksheet: Assisted Living Home
SOD Sent: 2023-09-19
Summary:
The following deficiencies were found during the on-site compliance inspection conducted on September 18, 2023:
Deficiencies Found: 2
Deficiency #1
Rule/Regulation Violated:
R9-10-113. Tuberculosis Screening
A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that:
2. Include:
c. Annually providing training and education related to recognizing the signs and symptoms of tuberculosis to individuals employed by or providing volunteer services for the health care institution;
Evidence/Findings:
Based on documentation review, record review, and interview, the health care institution failed to implement tuberculosis (TB) infection control activities including annually providing training and education related to recognizing the signs and symptoms of TB to individuals employed by the health care institution. The deficient practice posed a risk as the caregiver received no organized instruction or information related to TB surveillance.
Findings include:
1. Review of facility's documents revealed a policy titled "Tuberculosis (TB) Control - Tuberculosis Screening" that stated "...All individuals employed by the facility or providing volunteer services for the facility will be required to complete Tuberculosis (TB) Training and Education upon hire and annually thereafter..."
2. Review of E3's personnel record revealed E3 worked as a caregiver and had a hire date of August 11, 2023. The personnel record did not include documentation of training and education related to recognizing the signs and symptoms of TB.
3. In an interview, E1 and E2 acknowledged documentation was not available showing E3 completed training and education related to recognizing the signs and symptoms of TB.
4. Technical assistance was provided on this Rule during the compliance inspection conducted September 12, 2022.
Deficiency #2
Rule/Regulation Violated:
R9-10-113. Tuberculosis Screening
A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that:
2. Include:
d. Annually assessing the health care institution's risk of exposure to infectious tuberculosis;
Evidence/Findings:
Based on documentation review and interview, the health care institution failed to implement tuberculosis (TB) infection control activities including annually assessing the health care institution's risk of exposure to infectious TB. The deficient practice posed a TB exposure risk to residents and staff.
Findings include:
1. Review of facility's documents revealed a policy titled "Tuberculosis (TB) Control - Tuberculosis Screening" that stated "...The facility will be assessed on an annual basis to determine TB risk. This assessment will be completed on the facility form called "Facility Tuberculosis Risk Assessment" at least once every 12 months..."
2. Review of facility documentation revealed no documentation of an annual assessment of the health care institution's risk of exposure to infectious TB.
3. In an interview, E1 and E2 acknowledged an assessment of the health care institution's risk of exposure to infectious TB was not conducted.
4. Technical assistance was provided on this Rule during the compliance inspection conducted September 12, 2022.
Summary:
No deficiencies were found during the on-site modification for a floor plan change but not a change in capacity that was completed on August 19, 2024.