West Valley Helping Hands.

“Based on document review, observation, record review and interview, the governing authority failed to notify the Department according to A.R.S. \'a7 36-425(I), which required immediate notification to the Department in writing, identifying the name and qualifications of the new manager when there was a change in the manager. Findings include: 1. A review of Department records revealed E4 was listed as the manager. 2. During the environmental inspection, the Compliance Officer observed E1's manager's certificate posted near the front door of the facility. 3. In an interview, E2 and E3 reported E4 was no longer the manager and E1 was the new manager. 4. A review of E1's personnel record revealed a hire date of April 10, 2024. 5. In a telephonic interview, E1 reported notifying the Department, however, E1 provided incorrect information, including an inaccurate Facility Name and Address, when providing the notification to the Department. E1 acknowledged the Department was not notified in writing of the change in manager.”

“Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area from which a resident could exit to a location at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. During the environmental tour, the Compliance Officer observed the front door leading to the front yard, which lead to the street. The door leading out to the front yard had a device that was intended to alert employees to the egress of a resident to the outside area. However, the device was not functioning. 3. A review of facility policies and procedures revealed a policy titled "Safety of Wandering Residents," the policy stated "5. If alarms are being used on doors and or windows, the caregiver will check them daily for operation and security. Alarms that are triggered will be investigated immediately by the caregiver on duty." 4. In an interview, E2 and E3 acknowledged a means of exiting the facility to an outside area did not control or alert employees of the egress of a resident from the facility.”

“Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that provided access to an outside area from which a resident may exit to a location at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. During the environmental tour, the Compliance Officer observed the back yard did not allow residents to be at least 30 feet away from the facility. The door leading out to the back yard had a device that was intended to alert employees to the egress of a resident to the outside area. However, the device was not functioning. 3. A review of facility policies and procedures revealed a policy titled "Safety of Wandering Residents," the policy stated "5. If alarms are being used on doors and or windows, the caregiver will check them daily for operation and security. Alarms that are triggered will be investigated immediately by the caregiver on duty." 4. In an interview, E2 and E3 acknowledged the facility did not have a means of exiting to an outside area that allowed a resident to be at least 30 feet away from the facility and controlled or alerted employees to the egress of a resident from the facility.”