Inspection Reports for A Caring Manor I
20338 E Via Del Oro #6270, Queen Creek, AZ 85142, United States, AZ, 85142
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Jun 11, 2024
Visit Reason
State-compiled enforcement action report for A CARING MANOR I detailing enforcement action #00112850 with payment and completion status.
Findings
The report documents a completed enforcement action with a $500 fine that was fully paid and closed as of June 11, 2024.
Report Facts
Total fines: 500
Inspection Report
Capacity: 5
Deficiencies: 8
Feb 7, 2024
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-05 to 2024-02 with deficiency history
Findings
Two inspections were conducted: a 2023 compliance (annual) inspection found 8 deficiencies related to personnel records, resident documentation, medication administration, storage, and facility safety; a 2024 change of service inspection found no deficiencies.
Deficiencies (8)
| Description |
|---|
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1.c.ix. Documentation of compliance with the requirements in A.R.S. § 36-411(A) and (C); - Failed to ensure a personnel record included valid fingerprint clearance card documentation for one employee. |
| B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation dated within 90 calendar days before acceptance and signed by authorized medical personnel - Failed to ensure documentation was dated within 90 days before acceptance for one resident. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan reviewed and updated at least once every three months for residents receiving directed care services - Failed to ensure service plans were reviewed and updated at least quarterly for two residents. |
| A. Except as required in subsection (B), a manager shall ensure that a resident's written service plan is signed and dated by required parties when updated - Failed to ensure service plan was signed and dated by resident's representative, manager, and nurse or medical practitioner for one resident. |
| C. A manager shall ensure that a resident's medical record contains documentation of medication administered including date and time - Failed to document time of medication administration for two residents. |
| B. If an assisted living facility provides medication administration, a manager shall ensure medication administered is documented in the resident's medical record - Failed to document some medications correctly in medical records for two residents. |
| F. When medication is stored by an assisted living facility, a manager shall ensure medication is stored in a separate locked room, closet, cabinet, or self-contained unit - Failed to ensure medication was stored in a locked area accessible only to authorized personnel. |
| A. A manager shall ensure hot water temperatures are maintained between 95º F and 120º F in resident areas - Failed to maintain hot water temperature within required range; observed temperature was 132.3º F. |
Report Facts
Inspections on page: 2
Total deficiencies: 8
Total complaint inspections: 0
Total capacity: 5
Inspection Report
Enforcement
Deficiencies: 1
May 11, 2023
Visit Reason
The inspection was conducted to address regulatory compliance issues, resulting in enforcement action due to failure to maintain required personnel records.
Findings
The facility was found to have failed to ensure that personnel records for employees included required documentation of compliance, leading to a civil fine.
Deficiencies (1)
| Description |
|---|
| The manager failed to ensure a personnel record for each employee included documentation of compliance with the requirements in A.R.S. § 36-411(A), for one of three personnel records sampled. |
Report Facts
Fine amount: 500
Personnel records sampled: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen W. Sendon | Manager | Named in enforcement agreement and signature on enforcement notification of rights |
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