Inspection Reports for Solana at the Park
14581 W Parkwood Dr, Surprise, AZ 85374, United States, AZ, 85374
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Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 23
Sep 10, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-09 to 2025-09 with deficiency history including complaint and annual compliance inspections.
Findings
Across all inspections, multiple deficiencies were cited including failures in caregiver training and documentation, resident service plan management, environmental safety, tuberculosis screening, medication administration, and disaster preparedness. Some complaint investigations found no deficiencies, while others revealed significant compliance issues posing health and safety risks.
Complaint Details
Complaint investigations were conducted on 9/10/2025, 5/5/2025, 3/5/2025, and 2/27/2024. Some complaint inspections found no deficiencies, while others cited multiple deficiencies related to care documentation and facility compliance.
Deficiencies (23)
| Description |
|---|
| R9-10-806.A.10. Personnel: Failed to ensure caregiver provided current documentation of CPR training including hands-on demonstration before providing assisted living services. |
| R9-10-808.C.1.g. Service Plans: Failed to document services provided in resident's medical record for one of eight residents reviewed. |
| R9-10-819.A.11. Environmental Standards: Poisonous or toxic materials were not maintained in labeled containers in a locked area inaccessible to residents. |
| 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 document services provided for four of four residents reviewed. |
| C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 2. Food is protected from potential contamination; Failed to ensure food was protected from potential contamination in kitchen storage areas. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition: Failed to ensure staff completed training program for fall prevention and fall recovery. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411: Failed to document good faith efforts to contact previous employers and verify fingerprint clearance cards for multiple employees. |
| A. A manager shall ensure that: 8. Provides evidence of freedom from infectious tuberculosis as specified in R9-10-113: Failed to provide documentation for three of eight caregivers reviewed. |
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: Failed to provide documentation for one of one resident reviewed. |
| D. Before or at the time of an individual's acceptance by an assisted living facility, a manager shall ensure documented residency agreement: Failed to provide documented residency agreement for one of eight residents reviewed. |
| G. A manager may terminate residency of a resident as follows: Failed to include correct policy and procedure for termination of residency in facility policy and residency agreements for two of seven residents reviewed. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated at least once every six months: Failed to update service plan for one of five residents receiving personal care services. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after acceptance; Failed to have a written service plan for one of eight residents reviewed. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. Is signed and dated by required parties: Failed to ensure signatures and dates for seven of seven residents reviewed. |
| A manager shall ensure that for a resident who requests or receives behavioral care, a behavioral health professional or medical practitioner evaluates the resident and signs a determination: Failed to obtain written determination for one of one resident receiving behavioral care. |
| A. A manager of an assisted living facility authorized to provide personal care services shall not accept or retain a resident who is unable to direct self-care: Failed to ensure appropriate placement of one resident meeting this criteria. |
| B. A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident confined to bed or chair if requirements met: Failed to obtain required written determinations at least every six months for two residents. |
| B. If an assisted living facility provides medication administration, a manager shall ensure medication is administered in compliance with medication order: Failed to ensure compliance for one of six residents reviewed. |
| A. A manager shall ensure that: 2. The disaster plan is reviewed at least once every 12 months: Failed to review disaster plan annually. |
| A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented: Failed to conduct and document drills on each shift quarterly. |
| E. A manager of an assisted living center shall ensure that: 3. A fire inspection is conducted by local fire department or State Fire Marshal before licensing and as required: Failed to have current fire inspection since 2019. |
| R9-10-113. Tuberculosis Screening: Failed to establish, document, and implement tuberculosis infection control activities including training and annual risk assessment. |
| R9-10-120. Opioid Prescribing and Treatment: Failed to document identification of need and effect of opioid administered for two residents reviewed. |
Report Facts
Inspections on page: 5
Total deficiencies: 23
Complaint inspections: 4
Total capacity: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lorena Watson LPN | Executive Director | Named in deficiencies related to CPR training, service plan documentation, environmental standards, and policy compliance |
| Rachelle Valencia | Business Office Manager | Named in deficiency related to CPR training documentation |
| Danielle Walker LPN | Director of Resident Services | Named in deficiency related to service plan documentation |
| Edwin Sandoval-Lugo | Physical Plant Director | Named in deficiency related to environmental standards and chemical storage |
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