Las Fuentes Assisted Living.

“Based on record review, documentation review and interview, the manager failed to ensure compliance with the requirements in A.R.S. § 36-411. The deficient practice posed a risk if E2 or E3 were a danger to a vulnerable population.   Findings include:   1. A.R.S. § 36-411.C states: "C. Owners shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution, nursing care institution or home health agency. 2. Verify the current status of a person's fingerprint clearance card. 3. Beginning January 1, 2025, verify that a potential employee is not on the adult protective services registry pursuant to section 46-459. If a potential employee is found to be on the adult protective services registry, the residential care institution, nursing care institution or home health agency may not hire the potential employee. 4. On or before March 31, 2025, verify that each employee is not on the adult protective services registry pursuant to section 46-459. If an employee is found to be on the adult protective services registry, the residential care institution, nursing care institution or home health agency shall take action to terminate the employment of that employee. 5. Beginning March 31, 2025, annually reverify that each employee is not on the adult protective services registry pursuant to section 46-459."   2. A record review of E2 and E3's 's personnel records, revealed an APS Central Registry nor Department of Public Safety (DPS) Fingerprint Clearance Card verification was not available for review. 3. A documentation review by the Compliance Officer of the Department’s website, AZ Care Check https://azcarecheck.azdhs.gov/s/ revealed that E2 and E3, were not on the APS Central registry.  4. An online check by the Compliance Officer on August 15, 2025, of the Arizona Department of Public Safety (DPS) web portal at https://psp.azdps.gov/services/cardStatusRequest revealed that E2 and E3 had a valid DPS fingerprint Clearance Card.   5. In an interview, E1 acknowledged that the manager did not ensure E2 and E3 complied with the requirements in A.R.S. § 36-411(C).”

“Based on record review, documentation review, and interview, the manager failed to ensure that a manager, a caregiver, assistant caregiver, or a volunteer provide documentation of freedom from infectious Tuberculosis (TB) as specified in R9-10-113. The deficient practice posed a potential TB exposure risk to residents.   Findings include:   1. A review of E2’s personnel record revealed, one negative TB skin test from June 9, 2025. A second negative TB test was not provided for review.   2. A documentation review of the facility's Policies and Procedure titled, "Tuberculosis Education for initial screening and two step TB test" required Tb testing to be completed for newly hired employees and newly admitted residents.   3. In an interview, E1 acknowledged documentation of freedom from infectious Tuberculosis (TB) was not provided for E2.”

“Based on documentation review, record review and interview, the manager failed to ensure a caregiver provide documentation of completion of a caregiver training program approved by the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA), for one of one individual sampled who was hired as a caregiver. The deficient practice posed a risk if the individuals were not qualified to provide the required services and the Department was provided false and misleading information. Findings include: 1. A Department review of the Arizona Nursing Care Institution Administrators and Assisted Living Managers (NCIA) revealed, training school ALTP # 0144 Adult Care Learning Systems, Incorporated, Pamela Davis, Instructor, dates of operations: Wednesday December 10, 2008 to Friday August 2, 2013. 2 . A record review of the personnel record for E2 revealed, a caregiver certificate from Adult Care Learning Systems, Incorporated ALTP # 0144, signed by instructor Ernest Esteban, RN. Training dates May 20, 2013 to June 22, 2013. 3. A notarized copy of the Arizona Board of Nursing Welcome page had a hand written note on the left margin. The note stated, "AZ DHS Is not under the Board of Nursing. However, this never expires-DHS & ALTP 0144 AZ DHS for certified caregiver + AZ state post secondary education V1436. Must have taken classes dated + completed. prior to August 1, 2013. verified + validated memo from Board of Nursing. Signed and notarized by Ernest Esteban, 10/07/21." The notary of the signed document, writer of the note, and school instructor was the same person, Ernest Esteban. 4. In an interview, E2 did not deny the caregiver certificate was not valid. E2 enrolled in a caregiver program during the compliance inspection. 5. In an interview, E1 acknowledged the manager failed to ensure a caregiver provide documentation of completion of a caregiver training program approved by the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA).”