Inspection Reports for The Montecito Senior Living
17271 N 87th Ave, Peoria, AZ 85382, United States, AZ, 85382
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Enforcement
Deficiencies: 2
Oct 9, 2025
Visit Reason
The inspection was conducted due to concerns about occurrence of actual harm and invalid CPR training for one employee.
Findings
The facility was found to have staff who failed to meet a resident's needs resulting in harm, and one caregiver's CPR training was invalid as it was online-only.
Deficiencies (2)
| Description |
|---|
| Facility staff failed to meet a resident's needs, which resulted in harm. |
| One caregiver's CPR training was online-only; it was therefore invalid. |
Report Facts
Civil fines total amount: 1000
Penalty amount: 500
Penalty amount: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Butler | Bureau Chief (BC) | Signed enforcement agreement form. |
| Thomas Salow | Assistant Director (AD) | Signed enforcement agreement form. |
| James Tiffany | Compliance Officer Supervisor (COS) | Signed enforcement agreement form. |
Inspection Report
Complaint Investigation
Capacity: 141
Deficiencies: 9
Sep 15, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2023-07 to 2025-09 with deficiency history and complaint investigations.
Findings
Across multiple inspections, deficiencies were found related to emergency documentation, medication administration, caregiver qualifications, and environmental safety. Some inspections found no deficiencies, while others cited risks to resident health and safety including failure to document opioid administration, insufficient caregiver training, and unsafe storage of toxic materials.
Complaint Details
Multiple complaint investigations are included, with six complaint inspections noted on the page. Specific complaints include incidents resulting in resident injury and failure to notify physicians.
Deficiencies (9)
| Description |
|---|
| A.R.S. § 36-420.04.D. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document: Failed to maintain a copy of the document provided to emergency responders and required documentation for two years. |
| R9-10-819.D.1. Emergency and Safety Standards: Failed to ensure immediate notification of resident's primary care provider after an incident requiring medical services. |
| R9-10-819.D.2.a-f. Emergency and Safety Standards: Failed to document date/time, description, observers, actions taken, notifications, and prevention measures for an incident requiring medical services. |
| R9-10-120.F.4.a-c. Opioid Prescribing and Treatment: Failed to document identification of patient's need for opioid before administration and the effect of the opioid administered. |
| R9-10-816.B.3.c. Medication Services: Failed to document medication administered to a resident in the medical record. |
| R9-10-819.A.11. Environmental Standards: Failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area inaccessible to residents. |
| A. A manager shall ensure that: 5. An assisted living facility has a manager, caregivers, and assistant caregivers with the qualifications, experience, skills, and knowledge necessary to provide services and ensure resident health and safety: Failed to ensure sufficient qualified caregivers, resulting in resident injury during transfer. |
| A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of completion of a caregiver training program approved by the Department or NCIA Board: Failed to provide documentation of approved caregiver training for one individual. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes the amount, type, and frequency of assisted living services: Failed to include amount and frequency of services in resident service plans. |
Report Facts
Inspections on page: 6
Total deficiencies: 9
Complaint inspections: 6
Total capacity: 141
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kris Jones | Named as person responsible in emergency documentation deficiencies | |
| Heath Van Gysel | Executive Director | Named as person responsible in emergency documentation and medication administration deficiencies |
| Janise Williams | LPN | Named as person responsible in emergency documentation deficiencies |
| Deatra Johnson | Executive Director | Named as person responsible in medication administration and environmental deficiencies |
| E1 | Interviewed regarding multiple deficiencies | |
| E3 | Interviewed regarding emergency documentation deficiencies | |
| E4 | Interviewed regarding emergency documentation deficiencies | |
| E5 | Medication Care Partner | Named in caregiver training deficiency |
Inspection Report
Enforcement
Deficiencies: 0
Aug 15, 2023
Visit Reason
State-compiled enforcement action report for THE MONTECITO SENIOR LIVING facility detailing enforcement action #00112749 with associated payment schedule.
Findings
The report documents an enforcement action completed with a penalty payment of $500.00. No specific deficiencies or inspection findings are detailed on the page.
Report Facts
Total fines: 500
Inspection Report
Enforcement
Deficiencies: 1
Jul 26, 2023
Visit Reason
The inspection was conducted due to concerns that a caregiver did not provide documentation of completion of a valid caregiver training program.
Findings
The facility was found to have a violation where the manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners. This deficiency posed a risk if the caregiver was not qualified to provide required services.
Deficiencies (1)
| Description |
|---|
| The manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners. |
Report Facts
Fine amount: 500
Individuals involved: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deedra Johnson | Licensee/Director/Provider | Signed enforcement agreement and acknowledged rights |
| Tiffany Slater | Bureau Chief (BC) | Signed enforcement agreement |
| Thomas Salow | Assistant Director (AD) | Signed enforcement agreement |
| Ian Baxter | Compliance Officer Supervisor (COS) | Listed on enforcement agreement |
| Cindy Graham | Deputy BC | Listed on enforcement agreement |
| James Tiffany | Compliance Officer Supervisor (COS) | Listed on enforcement agreement |
| Aaron Telles | Compliance Officer Supervisor (COS) | Listed on enforcement agreement |
| Jewela West | Compliance Officer Supervisor (COS) | Signed enforcement agreement |
Inspection Report
Enforcement
Deficiencies: 0
Nodate Enforcement
Visit Reason
State-compiled enforcement action summary page for THE MONTECITO SENIOR LIVING facility.
Findings
No specific enforcement action details, deficiencies, or findings are provided on this page.
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