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Arizona (ADHS - Title 9): Regulates 3 distinct tiers: Supervisory (reminders only), Personal (hands-on ADLs), and Directed (Memory Care for dementia).
California (CDSS - Title 22): Regulates Residential Care Facilities for the Elderly (RCFEs) and Continuing Care Retirement Communities (CCRCs). Distinguishes between ambulatory and non-ambulatory fire clearances, and mandates plan-of-operation waivers for dementia care and hospice.
Medication Management: Failure to log PRNs/narcotics, MAR chart discrepancies, or caregiver administration without documented training.
Staffing & Background Clearances: Staff working without criminal background clearance, First Aid/CPR, or mandatory dementia CEU training hours.
Incident Reporting: Failure to immediately report a resident injury, unwitnessed fall, or acute medical change to family/physicians.
Appraisals & Care Plans: Failure to conduct written pre-placement appraisals or update plans of care upon resident medical decline.
The Ombudsman is a federally mandated, free, and confidential advocate dedicated to resolving resident rights, quality of life, care disputes, and involuntary 30-day eviction notices.
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