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851 N. Harris Dr., Mesa, AZ 85203, AZ, 85203

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Inspection Report Summary

The most recent inspection on August 9, 2025, included enforcement action with a fine of $1,250 that was paid in full. Earlier inspections showed repeated deficiencies primarily related to personnel verification, caregiver training documentation, fall prevention training, and facility safety measures such as means of exiting the building. Several complaint investigations substantiated issues with administration compliance, resident rights, medication administration, and environmental safety, but no license suspensions or immediate jeopardy findings were noted. Fines totaling several thousand dollars were imposed over time, reflecting ongoing challenges with documentation and training compliance. The pattern suggests persistent issues in staff qualifications and safety protocols, with no clear indication of sustained improvement.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 9.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

151% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024
2025
Enforcement Action Enforcement Fines: 1 Total: $1,250.00 Aug 9, 2025
Summary
The facility was fined $1,250.00 which has been paid in full as of the due date.
Fines & Penalties (1)
AmountReasonStatus
$1,250.00Enforcement action finePaid
Enforcement Action Enforcement Fines: 2 Total: $1,250.00 Apr 30, 2025
Summary
The facility was found to have repeat deficiencies related to caregiver qualifications and training documentation, resulting in civil fines totaling $1250.00.
Fines & Penalties (2)
AmountReasonStatus
$750.00Failure to verify and document caregiver skills and knowledge before providing health services.
$500.00Failure to ensure caregiver provided current documentation of first aid and CPR training.
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 6 Apr 30, 2025
Visit Reason
Six deficiencies found related to administration compliance, personnel verification, resident rights, environmental standards, and fall prevention training during complaint investigation 00127246.
Findings
Six deficiencies found related to administration compliance, personnel verification, resident rights, environmental standards, and fall prevention training during complaint investigation 00127246.
Complaint Details
Complaint 00127246
Deficiencies (6)
Description
R9-10-803.A.9. — Administration compliance with A.R.S. § 36-411
R9-10-806.A.4.a-b. — Personnel skills and knowledge verification
R9-10-806.A.10. — Personnel pre-service requirements
R9-10-810.B.2.i. — Resident restraint
R9-10-819.A.6. — Hot water temperature standards
A.R.S. § 36-420.01.A. — Fall prevention training programs
Enforcement Action Enforcement Fines: 2 Total: $1,500.00 May 22, 2024
Summary
The facility was found to have deficient practices in personnel documentation and egress safety, posing risks to health and safety. One deficiency was a repeat from a previous complaint investigation.
Fines & Penalties (2)
AmountReasonStatus
$500.00Failure to ensure personnel records included correct documentation of employment start dates.
$1,000.00Failure to ensure a safe means of exiting the facility with proper employee alerting; repeat deficiency.
Enforcement Action Enforcement Fines: 1 Total: $1,500.00 Apr 30, 2024
Summary
The facility was fined $1,500.00 which has been paid in full as part of the enforcement action.
Fines & Penalties (1)
AmountReasonStatus
$1,500.00Fine associated with enforcement action #00109406Paid
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 13 Apr 10, 2024
Visit Reason
Thirteen deficiencies found related to fall prevention training, governing authority notifications, personnel compliance, resident agreements, medication administration, food safety, and facility safety during complaint investigation AZ00208281.
Findings
Thirteen deficiencies found related to fall prevention training, governing authority notifications, personnel compliance, resident agreements, medication administration, food safety, and facility safety during complaint investigation AZ00208281.
Complaint Details
Complaint AZ00208281
Deficiencies (13)
Description
36-420.01. — Fall prevention and recovery training
A. A governing authority shall: 7. — Notification requirements
A. A governing authority shall: 9. — Compliance with A.R.S. § 36-411
A. A manager shall ensure that: 2. — Assistant caregiver supervision
A. A manager shall ensure that: 4. — Caregiver skills verification
A. A manager shall ensure that: 8. — TB documentation
C. A manager shall ensure personnel records include correct employment dates
E. — Resident agreement signatures
A. A manager shall ensure that: 5. — Resident medical record protection
F. — Means of exiting facility
B. — Medication administration documentation
F. — Medication storage security
C. — Food storage thermometer
Enforcement Action Enforcement Fines: 1 Total: $500.00 Apr 8, 2024
Summary
The enforcement action was completed with a fine paid in full.
Fines & Penalties (1)
AmountReasonStatus
$500.00Enforcement action finePaid
Enforcement Action Enforcement Fines: 1 Total: $500.00 Jul 10, 2023
Summary
The enforcement resulted in a civil fine of $500 for the violation related to fingerprint clearance compliance.
Fines & Penalties (1)
AmountReasonStatus
$500.00Failure to ensure an individual living in the home had a current, valid fingerprint clearance card.
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 9 Apr 17, 2023
Visit Reason
Nine deficiencies found related to documentation submission, unauthorized individuals, pre-acceptance documentation, residency agreements, facility exit means, food menu posting, garbage storage, poisonous/toxic materials storage, and bathroom safety during complaint investigations AZ00179092, AZ00183728, and AZ00184345.
Findings
Nine deficiencies found related to documentation submission, unauthorized individuals, pre-acceptance documentation, residency agreements, facility exit means, food menu posting, garbage storage, poisonous/toxic materials storage, and bathroom safety during complaint investigations AZ00179092, AZ00183728, and AZ00184345.
Complaint Details
Complaints AZ00179092, AZ00183728, AZ00184345
Deficiencies (9)
Description
E. — Documentation submission timeliness
B. — Unauthorized individuals in facility
B. — Pre-acceptance documentation
D. — Residency agreement
F. — Means of exiting facility
A. A manager shall ensure food menu posting
A. A manager shall ensure garbage storage
A. A manager shall ensure poisonous/toxic materials storage
C. A manager shall ensure bathroom slip-resistant surfaces

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