Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Feb 11, 2025
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State-compiled enforcement action report for Madera Assisted Living Home detailing enforcement action #00109857 with associated penalty and payment schedule.
Findings
The report documents an enforcement action completed with a penalty payment of $1,500.00. No inspection deficiencies or findings are detailed on this page.
Report Facts
Total fines: 1500
Inspection Report
Enforcement
Deficiencies: 3
Dec 27, 2024
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The inspection was conducted to address violations identified at Madera Assisted Living Home, leading to enforcement actions and civil fines.
Findings
The facility was found to have multiple violations related to caregiver skills verification, personnel record documentation for CPR and first aid training, and ensuring means of exit for residents. These deficiencies posed health and safety risks to residents.
Deficiencies (3)
| Description |
|---|
| The manager failed to ensure that a caregiver's skills and knowledge were verified and documented before the caregiver provided health services, for two of three personnel sampled. |
| The manager failed to ensure that a personnel record for each employee or volunteer included documentation of cardiopulmonary resuscitation (CPR) training and first aid (FA) training, if required per the facility's policies and procedures, for one of three personnel sampled. |
| The manager failed to ensure that there was a means of exiting the facility that controlled or alerted employees of the egress of a resident from the facility. |
Report Facts
Civil fines total amount: 1500
Number of personnel sampled: 3
Number of violations: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Higuera | Licensee/Director/Provider | Signed the Enforcement Agreement Form. |
| Dawn Butler | Bureau Chief (BC) | Signed the Enforcement Agreement Form. |
| Thomas Salow | Assistant Director (AD) | Signed the Enforcement Agreement Form. |
| Aaron Telles | Deputy Bureau Chief (DBC) | Signed the Enforcement Agreement Form. |
| Kari Humphrey | Compliance Officer Supervisor (COS) | Signed the Enforcement Agreement Form. |
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 7
Dec 27, 2024
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State-compiled facility profile showing 3 inspections from 2023-10 to 2024-12 with deficiency history and complaint investigations.
Findings
Across three inspections, two complaint investigations and one annual compliance inspection, seven deficiencies were cited in the most recent complaint inspection related to staff training, documentation, resident safety, and food storage. The other two inspections found no deficiencies.
Complaint Details
An on-site investigation of complaint AZ00221015 was conducted on December 27, 2024, resulting in seven deficiencies cited. Two prior complaint investigations were also conducted, one on August 26, 2024 with no deficiencies found, and one annual compliance inspection on October 4, 2023 with no deficiencies.
Deficiencies (7)
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition: Failed to ensure the health care institution administered a training program for all staff regarding fall prevention and fall recovery including initial and continued competency training. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing health services: Failed to ensure verification and documentation of caregiver skills and knowledge for two of three personnel sampled. |
| A. A manager shall ensure that: 7. Documentation is maintained for at least 12 months after the last date on the documentation of caregivers and assistant caregivers working each day, including hours worked: Failed to maintain documentation of caregivers working each day and hours worked. |
| C. A manager shall ensure that a personnel record for each employee or volunteer includes documentation of cardiopulmonary resuscitation training and first aid training if required: Failed to ensure personnel record included documentation of CPR and first aid training for one of three personnel sampled. |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure means of exiting the facility that controls or alerts employees of resident egress: Failed to ensure alarms on exits were turned on to alert employees of resident egress. |
| C. A manager shall ensure that food is obtained, prepared, served, and stored properly: Failed to ensure foods requiring refrigeration were maintained at 41° F or below. |
| C. A manager shall ensure that a refrigerator used to store food or medication contains a thermometer accurate to plus or minus 3° F placed at the warmest part: Failed to ensure refrigerator contained an accurate thermometer; observed temperature was 50° F. |
Report Facts
Inspections on page: 3
Total deficiencies: 7
Complaint inspections: 2
Total capacity: 10
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