Inspection Reports for Peaceful and Comfort Assisted Living
6532 E Hannibal St, Mesa, AZ 85205, USA, AZ, 85205
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Enforcement
Deficiencies: 0
Jun 30, 2025
Visit Reason
State-compiled enforcement action summary for PEACEFUL AND COMFORT ASSISTED LIVING including details of enforcement action and payment schedule.
Findings
The facility is currently subject to an enforcement action with an outstanding balance and partial payment made toward the penalty amount.
Report Facts
Total fines: 1500
Payment amount paid: 80
Payment amount remaining: 1420
Inspection Report
Annual Inspection
Census: 6
Capacity: 9
Deficiencies: 15
Apr 4, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2023 to 2025 with deficiency history including complaint and annual compliance inspections.
Findings
Across all inspections, multiple deficiencies were identified including failure to administer staff training on fall prevention, incomplete employee verification processes, lack of quality management documentation, incomplete medical records, and safety issues such as unsecured oxygen containers. One complaint investigation substantiated a deficiency related to unlicensed operation with six residents served prior to licensing.
Complaint Details
An on-site investigation of complaint AZ00189855 was conducted on January 10, 2023. One of one allegation was substantiated related to unlicensed operation serving six residents.
Deficiencies (15)
| Description |
|---|
| A.R.S. § 36-420.01.A. Health care institutions; fall prevention and fall recovery; training programs; definition: Failed to administer a training program for all staff regarding fall prevention and fall recovery. |
| R9-10-803.A.9. Administration: Governing authority failed to ensure compliance with A.R.S. § 36-411 including documented good faith efforts to verify employee fitness and registry checks. |
| R9-10-804.1.a-e. Quality Management: Failed to implement a quality management plan at the required frequency. |
| R9-10-806.A.4.a-b. Personnel: Failed to verify and document caregiver skills and knowledge before providing health services. |
| R9-10-806.A.7. Personnel: Failed to maintain documentation of caregivers and assistant caregivers working each day including hours worked. |
| R9-10-806.A.8.a-b. Personnel: Failed to provide evidence of freedom from infectious tuberculosis for one employee. |
| R9-10-808.E.1-4. Service Plans: Failed to prepare a calendar of planned activities at least one week in advance. |
| R9-10-811.C.1-24. Medical Records: Failed to ensure resident medical records contained all required elements. |
| R9-10-817.A.1.a-e. Food Services: Failed to prepare a food menu at least one week in advance. |
| R9-10-817.C.4.a. Food Services: Failed to maintain potentially hazardous foods requiring refrigeration at 41° F or below. |
| R9-10-818.A.2. Emergency and Safety Standards: Failed to review disaster plan at least once every 12 months. |
| R9-10-818.A.4. Emergency and Safety Standards: Failed to conduct and document disaster drills on each shift at least once every three months. |
| R9-10-818.A.5.a. Emergency and Safety Standards: Failed to conduct evacuation drills for employees and residents at least every six months. |
| R9-10-819.A.10. Environmental Standards: Failed to ensure oxygen containers were secured in an upright position. |
| A.R.S. § 36-407. Prohibited acts; required acts: Conducted and maintained a health care institution without a current and valid license, providing services to six residents prior to licensing. |
Report Facts
Inspections on page: 4
Total deficiencies: 15
Complaint inspections: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alejandro Preciado | NCIA Board Certified Manager | Named as person responsible for all deficiencies in the April 4, 2025 annual compliance inspection |
| E1 | Employee acknowledged multiple deficiencies including training, documentation, and compliance failures | |
| E2 | Employee referenced in findings related to food storage and training documentation | |
| E3 | Employee referenced in findings related to tuberculosis evidence and training documentation |
Inspection Report
Enforcement
Deficiencies: 0
Mar 14, 2023
Visit Reason
State-compiled enforcement action report for Peaceful and Comfort Assisted Living detailing enforcement action #00109492 with associated invoice and payment schedule.
Findings
The document details an enforcement action completed with a financial penalty and payment schedule but does not include specific inspection findings or deficiencies.
Report Facts
Total fines: 5600
Payment amount paid: 1350
Payment amount remaining: 4250
Inspection Report
Enforcement
Census: 6
Deficiencies: 0
Jan 10, 2023
Visit Reason
The inspection was conducted due to concerns about unlicensed care and failure to submit annual licensing fees on time.
Findings
The facility failed to submit the annual licensing fees prior to the due date, resulting in an expired license from August 1, 2022 to March 13, 2023. Despite the expired license, the facility continued to provide health-related services to six residents, including three admitted after the license expired.
Report Facts
Civil fine amount: 5600
Days license expired: 224
Residents served during license expiration: 6
Residents admitted after license expiration: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vanessa Mariah A. Serujo | Licensee/Director/Provider | Named in enforcement agreement and signed the document |
| Alejandro Preciado | Licensee/Director/Provider | Named in enforcement agreement and signed the document |
| Tiffany Slater | Bureau Chief (BC) | Attended enforcement agreement meeting |
| Thomas Salow | Assistant Director (AD) | Attended enforcement agreement meeting |
| James Tiffany | Compliance Officer Supervisor (COS) | Attended enforcement agreement meeting |
Loading inspection reports...
