Inspection Reports for Paradise Valley Senior Living

16621 N 38th St, Phoenix, AZ 85032, United States, AZ, 85032

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Deficiencies per Year

32 24 16 8 0
2023
2024
2025
Severe High Moderate Low Unclassified
Inspection Report Enforcement Deficiencies: 0 Aug 9, 2025
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State-compiled enforcement action report for PARADISE VALLEY SENIOR LIVING detailing enforcement action #00132143 with payment and penalty information.
Findings
The document details an enforcement action completed with a penalty payment of $2,250.00. No specific inspection deficiencies or findings are described.
Report Facts
Total fines: 2250
Inspection Report Complaint Investigation Capacity: 118 Deficiencies: 29 Jun 16, 2025
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State-compiled facility profile showing 15 inspections from 2023-2025 with deficiency history and complaint investigations.
Findings
Multiple inspections revealed numerous deficiencies across various regulatory areas including medication administration, personnel documentation, tuberculosis screening, environmental safety, and resident care plans. Several repeat deficiencies were noted, indicating ongoing compliance challenges.
Complaint Details
The page includes multiple complaint investigations with findings of deficiencies related to medication administration, personnel qualifications, resident safety, abuse reporting, and environmental standards.
Deficiencies (29)
Description
R9-10-816.B.3.b. Medication Services: Failed to ensure medication administered to residents was in compliance with medication orders, including improper timing and missed doses.
R9-10-819.A.13.a-c. Environmental Standards: Failed to ensure equipment was maintained in working order, including air conditioning units.
R9-10-113.A.2.a-f. Tuberculosis Screening: Failed to document and implement required tuberculosis infection control activities including annual risk assessments.
R9-10-120.F.4.a-c. Opioid Prescribing and Treatment: Failed to document patient's need for opioid before administration and monitoring of response.
R9-10-803.A.9. Administration: Failed to ensure personnel records included required fingerprint clearance cards and employer contact documentation.
R9-10-803.C.3. Administration: Failed to ensure policies and procedures were reviewed and updated at least once every three years.
R9-10-803.D.1-4. Administration: Failed to conspicuously post location of most recent inspection report and plan of correction.
R9-10-806.A.10. Personnel: Failed to provide current documentation of first aid and CPR training before providing assisted living services.
R9-10-806.A.8.a-b. Personnel: Failed to provide documentation of freedom from infectious tuberculosis for employees before providing services.
R9-10-807.A.1-2. Residency and Residency Agreements: Failed to ensure residents provided evidence of freedom from infectious tuberculosis as required.
R9-10-808.A.3.c. Service Plans: Failed to ensure resident service plans included amount, type, and frequency of assisted living services provided.
R9-10-816.B.3.a-c. Medication Services: Failed to ensure medication was administered by authorized individuals, in compliance with orders, and properly documented.
R9-10-816.F.1. Medication Services: Failed to ensure medication was stored in a separate locked area used only for medication storage.
R9-10-818.A.5.a. Emergency and Safety Standards: Failed to conduct evacuation drills for employees and residents at least once every six months.
R9-10-818.E.5. Emergency and Safety Standards: Failed to maintain documentation of current fire inspection.
R9-10-819.A.11. Environmental Standards: Failed to store poisonous or toxic materials in locked, labeled containers inaccessible to residents.
R9-10-819.A.2. Environmental Standards: Failed to implement and document a pest control program using certified applicators.
36-420.01. Health care institutions; fall prevention and fall recovery; training programs: Failed to develop and administer fall prevention and recovery training for all staff.
Rule J (A.R.S. § 46-454): Failed to document names of witnesses and actions taken to prevent suspected abuse after reasonable basis to believe abuse occurred.
Rule J (A.R.S. § 46-454): Failed to report suspected abuse or neglect as required by law.
A. A governing authority shall: Failed to notify Department of change in manager and identify new manager's qualifications.
C. A manager shall ensure policies and procedures cover methods to be aware of resident whereabouts based on level of care provided.
E. A manager shall ensure documentation required by Article 8 is provided to Department within two hours after request.
B. A manager shall ensure a resident is not subjected to restraint.
A. A manager shall ensure a food menu is conspicuously posted at least one calendar day before first meal served.
A. A manager shall ensure garbage and refuse are stored in covered containers lined with plastic bags.
A. A manager shall ensure hot water temperatures are maintained between 95º F and 120º F in resident areas.
C. A manager shall ensure personnel records include documentation of completed orientation and in-service education.
A. A manager shall ensure a disaster drill for employees is conducted on each shift at least once every three months and documented.
Report Facts
Inspections on page: 15 Total deficiencies: 68 Complaint inspections: 14 Total capacity: 118
Employees Mentioned
NameTitleContext
Carlos GerenaManagerNamed as person responsible for multiple deficiencies and corrective actions
Maica MalapiraRSDNamed as person responsible for multiple deficiencies and corrective actions
E1Acknowledged multiple findings related to medication administration and documentation
E2Acknowledged findings related to tuberculosis screening, personnel records, and environmental issues
E3Referenced in personnel and medication administration findings
E4Referenced in resident safety and elopement incident
E5Referenced in supervision and personnel findings
E6Referenced in multiple personnel and training deficiencies
E7Referenced in personnel and medication administration deficiencies
E8Referenced in restraint and documentation deficiencies
E9Referenced in environmental and personnel findings
E10Referenced in tuberculosis and policy review findings
E11Referenced in tuberculosis and policy review findings
E12Reported change in manager
E13Reported on restraint use
Inspection Report Enforcement Deficiencies: 0 May 15, 2025
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State-compiled enforcement action report for PARADISE VALLEY SENIOR LIVING detailing enforcement action #00122466 with payment and penalty information.
Findings
The report documents an enforcement action completed with a penalty payment of $750.00 due on 2025-05-15 and completed on 2025-05-22. No specific deficiencies or inspection findings are detailed on this page.
Report Facts
Total fines: 750
Inspection Report Enforcement Deficiencies: 5 Apr 30, 2025
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The inspection was conducted to address expired CPR and first aid training for one employee, fingerprint clearance issues, lack of evacuation drills, missing fire inspection documentation, and improper storage of toxic materials, resulting in enforcement action and civil fines.
Findings
The facility was found to have multiple repeat deficiencies including expired CPR and first aid training, fingerprint clearance card expiration, failure to conduct evacuation drills, missing fire inspection documentation, and unsafe storage of toxic materials. Civil fines totaling $2,250 were assessed.
Deficiencies (5)
Description
One employee's first aid and cardiopulmonary resuscitation (CPR) training were expired
One employee was permitted to continue working after their fingerprint clearance card expired; four employees' previous employers were not contacted to determine fitness to work
No evacuation drills were conducted within the last 12 months
Documentation of a current fire inspection was not available for review during the inspection
The facility did not store poisonous or toxic materials in a locked area and inaccessible to residents
Report Facts
Civil fine amount: 2250 Civil fine amount: 500 Civil fine amount: 500 Civil fine amount: 500 Civil fine amount: 250 Civil fine amount: 500
Employees Mentioned
NameTitleContext
Carlos GuerraExecutive DirectorLicensee/Director signing enforcement agreement
Dawn ButlerBureau ChiefAttended enforcement agreement meeting
Thomas SalowAssistant DirectorAttended enforcement agreement meeting
Aaron TellesDeputy Bureau ChiefAttended enforcement agreement meeting
James TiffanyCompliance Officer SupervisorAttended enforcement agreement meeting
Inspection Report Enforcement Deficiencies: 0 Jun 25, 2024
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State-compiled enforcement action report for Paradise Valley Senior Living detailing enforcement action #00110992 with associated penalty and payment schedule.
Findings
The report documents an enforcement action completed with a penalty amount of $7,540.00 and payment status marked as paid.
Report Facts
Total fines: 7540
Inspection Report Complaint Investigation Deficiencies: 7 May 8, 2024
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The inspection was conducted due to complaints regarding fingerprint clearance cards for employees, unsupervised assistant caregivers, lack of documented verification of skills and knowledge for assistant caregivers, missing service plans for residents, outdated service plans, no evacuation drills documentation, and improper storage of poisonous/toxic materials.
Findings
The facility was found to have multiple violations including expired or missing fingerprint clearance cards for employees, unsupervised assistant caregivers, failure to verify skills and knowledge of assistant caregivers, missing and outdated service plans for residents, lack of evacuation drill documentation, and improper storage of poisonous or toxic materials. These violations resulted in civil fines totaling $7,540.00.
Complaint Details
The complaint investigation substantiated multiple violations including fingerprint clearance issues, unsupervised caregivers, lack of verification of caregiver skills, missing and outdated service plans, no evacuation drill documentation, and improper storage of toxic materials.
Deficiencies (7)
Description
The manager failed to ensure compliance with fingerprint clearance cards for two of eight sampled employees.
The manager failed to ensure two assistant caregivers interacted with residents only under supervision.
The manager failed to ensure the skills and knowledge of three of four sampled assistant caregivers were verified and documented before providing physical health services.
The manager failed to ensure a service plan was completed for one of six sampled residents.
The manager failed to ensure the service plans for two of six sampled residents receiving directed care services were updated at least once every three months.
The manager failed to ensure an evacuation drill was conducted at least once every six months and documented.
The manager failed to ensure poisonous or toxic materials were stored in a locked area and inaccessible to residents.
Report Facts
Civil fines total: 7540 Fine amount: 1000 Fine amount: 500 Fine amount: 500 Fine amount: 4290 Fine amount: 500 Fine amount: 500 Fine amount: 250 Days assessed: 143
Employees Mentioned
NameTitleContext
Pauls GreeneEDLicensee/Director/Provider who signed enforcement agreement and acknowledged rights
Inspection Report Enforcement Deficiencies: 0 Jan 2, 2024
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State-compiled enforcement action report for PARADISE VALLEY SENIOR LIVING detailing enforcement action #00111969 with payment and penalty information.
Findings
The report documents an enforcement action completed with a penalty payment of $1,000.00. No specific deficiencies or inspection findings are detailed on the page.
Report Facts
Total fines: 1000
Inspection Report Enforcement Deficiencies: 0 Oct 31, 2023
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State-compiled enforcement action report for PARADISE VALLEY SENIOR LIVING detailing enforcement action #00112261 with associated payment schedule.
Findings
The report documents an enforcement action completed with a fine of $500.00 and payment fully made by 12/26/2023.
Report Facts
Total fines: 500
Inspection Report Enforcement Deficiencies: 2 Oct 10, 2023
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The inspection was conducted due to a complaint investigation regarding verification of employee skills and notification procedures following a resident incident.
Findings
The facility failed to verify the skills and knowledge of two employees before they provided physical health services and failed to immediately notify a resident's emergency contact and primary care provider after an incident, resulting in repeat citations and civil fines.
Complaint Details
Complaint inspection conducted on October 10, 2023, with a repeat citation from a complaint inspection conducted on July 3, 2023.
Deficiencies (2)
Description
The manager failed to ensure the skills and knowledge of two employees were verified and documented before the employees provided physical health services.
The manager failed to ensure a resident's emergency contact and primary care provider were immediately notified when a resident had an accident, emergency, or injury resulting in the resident needing medical services.
Report Facts
Civil fines total amount: 500 Civil fine amount: 250 Civil fine amount: 250
Employees Mentioned
NameTitleContext
Judy VandermateLicensee/Director/ProviderSigned enforcement notification of rights and agreement form.
Inspection Report Enforcement Deficiencies: 0 Jul 25, 2023
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State-compiled enforcement action report for Paradise Valley Senior Living detailing enforcement action and payment schedule.
Findings
The document details an enforcement action completed with a penalty payment of $1,500.00. No specific deficiencies or inspection findings are listed.
Report Facts
Total fines: 1500
Inspection Report Enforcement Deficiencies: 6 Jul 3, 2023
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The inspection was conducted to investigate and address deficiencies related to cardiopulmonary resuscitation (CPR) policies, staff training, documentation, restraint use, medication orders, and facility egress safety.
Findings
The facility failed to establish and document adequate CPR policies and training, ensure proper documentation of services and medication orders, prevent resident restraint without proper safeguards, and provide safe egress for residents. These deficiencies posed risks to resident health and safety and resulted in civil fines.
Deficiencies (6)
Description
Failure to establish and document CPR policies and procedures including training and qualifications.
Failure to ensure caregiver provided current documentation of first aid and CPR training.
Failure to ensure caregiver documented services provided in resident medical record.
Failure to ensure resident was not subjected to restraint posing potential physical or psychological harm.
Failure to ensure resident's medical record contained medication orders from a medical practitioner.
Failure to ensure means of exiting the facility for a resident without a key or special knowledge; repeat deficiency.
Report Facts
Civil fines total: 1500 Personnel members without documentation: 2 Residents sampled: 9 Residents affected by restraint: 1 Repeat deficiency dates: Repeat deficiency noted from inspections on April 12, 2022 and April 26, 2022.
Employees Mentioned
NameTitleContext
Tiffany SlaterBureau ChiefSigned as Bureau Chief on enforcement agreement.
Thomas SalowAssistant DirectorSigned as Assistant Director on enforcement agreement.
Ian BaxterCompliance Officer Supervisor (COS)Listed on enforcement agreement.
Cindy GrahamCompliance Officer Supervisor (COS)Listed on enforcement agreement.
James TiffanyCompliance Officer Supervisor (COS)Listed on enforcement agreement.
Aaron TellesCompliance Officer Supervisor (COS)Listed on enforcement agreement.
Jewela WestCompliance Officer Supervisor (COS)Signed enforcement agreement on 08/11/2023.
Inspection Report Enforcement Deficiencies: 0 Jun 27, 2023
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State-compiled enforcement action report for Paradise Valley Senior Living detailing enforcement action #00113108 with payment and status information.
Findings
The report documents an enforcement action completed on 2023-07-24 with a payment of $1,000.00 made and the case closed.
Report Facts
Total fines: 1000
Inspection Report Enforcement Deficiencies: 2 Jun 5, 2023
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The visit was conducted due to enforcement concerns involving one repeat deficiency and five residents observed in restraints.
Findings
The facility was found to have a repeat deficiency related to failure to complete a written service plan within 14 calendar days for one resident, and failure to ensure five residents were not subjected to restraint, posing potential physical injury or psychological distress. The Department was unable to determine substantial compliance during the inspection.
Deficiencies (2)
Description
Failure to complete a written service plan within 14 calendar days for one resident.
Failure to ensure five residents were not subjected to restraint, posing potential physical injury or psychological distress.
Report Facts
Civil fine amount: 1000 Number of residents involved: 5 Number of deficiencies: 2
Employees Mentioned
NameTitleContext
Tiffany SlaterBureau ChiefSigned enforcement agreement.
Thomas SalowAssistant DirectorSigned enforcement agreement.
Ian BaxterCompliance Officer SupervisorSigned enforcement agreement.
Cindy GrahamCompliance Officer SupervisorSigned enforcement agreement.
James TiffanyCompliance Officer SupervisorSigned enforcement agreement.
Aaron TellesCompliance Officer SupervisorSigned enforcement agreement.
Jewela WestCompliance Officer SupervisorSigned enforcement agreement.

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