Inspection Reports for The Valencia Home
26639 N 71st Pl, Scottsdale, AZ 85266, United States, AZ, 85266
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 15
Jul 25, 2024
Visit Reason
State-compiled facility profile showing 3 inspections from 2023 to 2024 with deficiency history including complaint and annual compliance inspections.
Findings
Across three inspections conducted between January 2023 and July 2024, multiple deficiencies were identified including failures in staff training, personnel record maintenance, service plan accuracy, infection control, and food service documentation, posing risks to resident health and safety.
Complaint Details
An on-site investigation of complaints AZ00205625, AZ00211460, and AZ00189644 was conducted with substantiated allegations resulting in cited deficiencies.
Deficiencies (15)
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition - Failed to develop and administer a training program for all staff regarding fall prevention and fall recovery. |
| A. A manager shall ensure that: 1.b.i. Provides documentation of completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers - Failed to ensure caregiver documentation of valid training program completion. |
| A. A manager shall ensure that: 4.a. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing physical health services - Failed to verify and document caregiver skills and knowledge. |
| A. A manager shall ensure that: 8.a-b. Provides evidence of freedom from infectious tuberculosis as specified in R9-10-113 - Failed to provide evidence of freedom from infectious tuberculosis for a caregiver. |
| A. A manager shall ensure that: 10. Provides current documentation of first aid training and CPR certification specific to adults including demonstration - Failed to provide documentation of CPR training including demonstration. |
| C. A manager shall ensure that a personnel record for each employee or volunteer includes required documentation - Failed to maintain personnel record for an employee. |
| A. A governing authority shall: 7. Notify the Department of change in manager - Failed to notify Department of manager change. |
| A. A manager shall ensure that: 9. Soiled linen and clothing are stored separate from clean linen in closed containers - Failed to store soiled linen in closed containers. |
| C. A manager shall ensure that a personnel record for each employee or volunteer includes required documentation - Failed to have personnel records for multiple employees. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan including level of service expected - Failed to include correct level of service in resident's written service plan. |
| C. A manager shall ensure that a caregiver documents services provided in resident's medical record - Failed to document services provided in resident's medical record. |
| F. A manager shall ensure service plan for personal care includes skin maintenance to prevent and treat injuries and infections - Failed to include skin maintenance in service plan. |
| B. A manager shall not accept or retain a resident confined to bed or chair without required medical practitioner examination and documentation - Failed to have signed and dated determination for resident confined to bed or chair. |
| A. A manager shall ensure that a food menu includes any food substitution no later than morning of meal service - Failed to include food substitutions on menu. |
| A. A manager shall ensure that meals and snacks are served according to posted menus - Failed to include snacks on posted food menu. |
Report Facts
Inspections on page: 3
Total deficiencies: 15
Complaint Inspections: 2
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Facility Manager | Named in findings related to manager change notification and personnel record maintenance |
| E2 | Manager Designee | Interviewed and referenced in multiple deficiency findings regarding training and documentation |
| E3 | Caregiver | Referenced in findings related to skills verification and service documentation |
| E4 | Caregiver | Referenced in findings related to invalid training certificate and CPR documentation |
| E5 | Caregiver | Referenced in finding related to missing personnel record |
| E6 | Caregiver | Referenced in findings related to missing fall prevention training and TB documentation |
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