Inspection Reports for Arden Valley Homecare
3091 E Lynx Way, Gilbert, AZ 85298, AZ, 85298
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Sep 24, 2024
Visit Reason
State-compiled enforcement action report for Arden Valley Home Care detailing enforcement action #00110513 with associated penalty and payment schedule.
Findings
The document details an enforcement action completed with a penalty payment of $750.00. No specific deficiencies or inspection findings are described.
Report Facts
Total fines: 750
Inspection Report
Enforcement
Deficiencies: 2
Aug 6, 2024
Visit Reason
The inspection was conducted due to enforcement concerns related to repeat deficiencies involving incomplete documentation of services provided to residents and unlocked medications accessible to residents.
Findings
Two repeat deficiencies were identified: failure to document services provided to two residents in medical records, and medications stored in an unlocked area accessible to residents. Civil fines totaling $750 were assessed.
Deficiencies (2)
| Description |
|---|
| The manager failed to ensure that services provided to two residents were documented in the residents' medical records. |
| Medications were stored in an unlocked area accessible to residents. |
Report Facts
Civil fine amount: 250
Civil fine amount: 500
Total civil fines: 750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Hawk | Manager | Licensee/Director/Provider signing enforcement agreement |
| Dawn Butler | Bureau Chief | Attendee and signatory on enforcement agreement |
| Thomas Salow | Assistant Director | Signatory on enforcement agreement |
| James Tiffany | Compliance Officer Supervisor | Signatory on enforcement agreement |
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 11
Aug 6, 2024
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-03-27 to 2024-08-06 with deficiency history
Findings
Across two inspections conducted on March 27, 2023 and August 6, 2024, multiple deficiencies were identified including failures in documentation of services, medication storage, premises safety, staff training, and timely submission of required documentation. Several deficiencies were repeat citations from prior inspections.
Complaint Details
The inspections included complaint investigations for complaints AZ00214131 (2024-08-06) and AZ00186301 and AZ00191310 (2023-03-27).
Deficiencies (11)
| Description |
|---|
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and - Failed to ensure documentation of assistance with dressing for residents R1 and R2 (2024-08-06 inspection) |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage; - Failed to ensure medication was stored securely; unlocked cabinet with NyQuil observed (2024-08-06 inspection) |
| 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; - Failed to remove tripping hazards in backyard (2024-08-06 inspection) |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition - Failed to develop and administer required fall prevention and recovery training program (2023-03-27 inspection) |
| C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed. - Failed to ensure policies and procedures were reviewed at least once every three years (2023-03-27 inspection) |
| E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours after a Department request; and - Failed to provide required documentation timely (2023-03-27 inspection) |
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: c. Documentation of: ix. Documentation of compliance with the requirements in A.R.S. § 36-411(A) and (C); - Failed to ensure personnel records included required documentation for employees E2, E3, and E4 (2023-03-27 inspection) |
| B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility and: 1. If an individual is requesting or is expected to receive supervisory care services, personal care services, or directed care services: a. Includes whether the individual requires: i. Continuous medical services, ii. Continuous or intermittent nursing services, or iii. Restraints; and b. Is dated and signed by a: i. Physician, ii. Registered nurse practitioner, iii. Registered nurse, or iv. Physician assistant; and - Failed to ensure required admission documentation was submitted for one discharged resident (2023-03-27 inspection) |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and - Failed to ensure documentation of services provided to resident R1 including catheter draining (2023-03-27 inspection) |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage; - Failed to ensure medication was stored securely; multiple medications observed unsecured (2023-03-27 inspection) |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2. Documents the following: a. The date and time of the accident, emergency, or injury; b. A description of the accident, emergency, or injury; c. The names of individuals who observed the accident, emergency, or injury; d. The actions taken by the caregiver or assistant caregiver; e. The individuals notified by the caregiver or assistant caregiver; and f. Any action taken to prevent the accident, emergency, or injury from occurring in the future. - Failed to document actions taken after resident R4's incident (2023-03-27 inspection) |
Report Facts
Inspections on page: 2
Total deficiencies: 11
Complaint inspections: 2
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Named in multiple findings related to documentation and compliance failures | |
| E3 | Named in personnel record documentation deficiencies | |
| E4 | Named in personnel record documentation deficiencies and medication storage interview | |
| O1 | Acknowledged tripping hazard and documentation issues in interviews |
Inspection Report
Enforcement
Deficiencies: 0
Apr 11, 2023
Visit Reason
State-compiled enforcement action report for Arden Valley Home Care detailing enforcement action #00113531 with payment and completion status.
Findings
The report documents an enforcement action completed with a fine of $250.00 paid in full by the due date.
Report Facts
Total fines: 250
Inspection Report
Enforcement
Deficiencies: 1
Mar 27, 2023
Visit Reason
The survey was conducted due to enforcement concerns involving a repeat deficiency related to medication storage.
Findings
The facility was found to have a repeat deficiency where medication was not stored in a separate locked room, closet, cabinet, or self-contained unit, posing an accessibility risk to residents not prescribed the accessible medication.
Deficiencies (1)
| Description |
|---|
| The manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage, posing an accessibility risk to residents not prescribed the accessible medication. |
Report Facts
Civil fine amount: 250
Number of repeat deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Slater | Bureau Chief (BC) | Signed enforcement agreement |
| Thomas Salow | Assistant Director (AD) | Signed enforcement agreement |
| Ian Baxter | Compliance Officer Supervisor (COS) | Signed enforcement agreement |
| Cindy Graham | Deputy BC | Signed enforcement agreement |
| James Tiffany | Compliance Officer Supervisor (COS) | Signed enforcement agreement |
| Aaron Telles | Compliance Officer Supervisor (COS) | Signed enforcement agreement |
| Jewela West | Compliance Officer Supervisor (COS) | Signed enforcement agreement |
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