Inspection Reports for
Amiga 1 Assisted Living Home LLC

17406 North 22nd St, Phoenix, AZ 85022, United States, AZ, 85022

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5 Reports

2024–2025

Inspection Report — Jun 9, 2025

Annual Inspection
Date: Jun 9, 2025

Visit Reason
On-site compliance (annual) inspection conducted on June 9, 2025, at an Assisted Living Home.

Findings
Two deficiencies were found related to service plans. The facility failed to ensure service plans were properly signed by residents' representatives and lacked required documentation of residents' weights or medical contraindications.

Deficiencies (2)
R9-10-808 — The manager failed to ensure that a written service plan, when initially developed and updated, was signed and dated by the resident or resident’s representative. This posed a risk as service plans for residents unable to direct their own care lacked signatures from representatives.
R9-10-815 — The manager failed to ensure that the service plan for residents receiving directed care services included documentation of the resident's weight or a medical statement contraindicating weighing. This deficiency risked improper adherence to directed care services.
Report Facts
Deficiencies cited: 2

Inspection Report — Oct 15, 2024

Enforcement
Date: Oct 15, 2024

Visit Reason
Civil monetary penalty, action 00110414 (invoice INV-257462), assessed 15 October 2024.

Findings
A $500.00 penalty was assessed and paid in full on 28 November 2024.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — Sep 16, 2024

Monitoring
Date: Sep 16, 2024

Visit Reason
On-site abbreviated initial follow-up inspection conducted on September 16, 2024, at an Assisted Living Home.

Findings
One deficiency was found related to personnel records. The manager failed to ensure a personnel record was available for one employee, posing a risk as required information could not be verified.

Deficiencies (1)
R9-10-115 — The manager failed to ensure a personnel record was available for one of three employees reviewed, as no record was found for employee E3 who was assisting residents.
Report Facts
Deficiencies cited: 1

Inspection Report — Apr 8, 2024

Original Licensing
Date: Apr 8, 2024

Visit Reason
On-site initial licensing inspection of AMIGA 1 ASSISTED LIVING HOME LLC conducted 27 March 2024 with off-site documentation review completed 8 April 2024.

Findings
No deficiencies were found during this initial licensing inspection.

Report


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