Providence Senior Living Paradise Valley

Type of visit: Prelicensing

At approximately 9:45 AM, Licensing Program Analyst (LPA) Star Stevenson arrived announced at this facility for the purpose of completing a pre-licensing inspection. LPA met with Applicant Maria Buna and toured the facility. The Facility is a 8-bedroom, 3-bathroom, single story house. Facility has fire clearance to care for 6 non-ambulatory residents and currently does not have a hospice waiver or clearance for a bedridden resident. Fire Clearance notes that bedroom #8 (master bedroom and bathroom) is a non-resident room and is currently being used as a staff office. Bedroom 7 was professionally sectioned off from the garage and has fire clearance to be use a staff room. Bedrooms 1,2,3,4,5,6 are currently approved for non-ambulatory residents and rooms 1,2,and 6 are noted to have exterior exit doors, while rooms 3 and 8 have exterior sliding doors. The facility has both an Emergency Disaster Plan and Infection Control plan on file. Facility has Complaint poster, Visiting Policy, Theft and Personal Rights Posters up in a central area. At approximately 10:15 AM LPA conducted a facility inspection and observed the following: Two fire extinguishers were observed mounted and fully charged and last tested in July of 2026. Smoke and Carbon Monoxide detectors were tested and in working order. Facility has Emergency lighting along the floors, as well as, backup flashlights and portable lights. Facility is noted to have an emergency water supplies for residents. Facility has 3 backup whole house wall batteries and long term, minimally-perishable (25 year) emergency food supplies. Facility has a large 1st Aid kit with required Red Cross Manual. Facilities phones and doorbell were observed to be operational. Continued on LIC809-C Continued from LIC809 There is a locked area for medications, toxins and cleaning supplies. Kitchen appliances, utensils, and food preparation areas are in good condition. Seven day supply of non-perishable food was present. Knives are locked in a kitchen drawer. A large covered patio and seating area is noted for residents Facility has large televisions and piano. Resident rooms contained all required furniture and beds were made with appropriate linens and mattress protectors. Water temperature in sinks available to clients were tested and found to be 126F and applicant turned down the facilities water heater so as to be in compliance with the regulation of maintaining taps available to Residents between 105 degrees F and 120 degrees F. Applicant was advised that taps with water over 125F would need prominent warning signs for hot water Applicant has an empty fireplace that is protected for resident safety. Component III orientation for RCFE was conducted at facility. Applicant conveyed a good knowledge of Title 22 regulations. Based on the findings during this inspection Applicant is ready for licensure. LPA will Notify Central Application Bureau and Community Care Licensing Managers of readiness for licensure. Report was review with Applicant, whose signature here denotes receipt.the state’s words, verbatim · CDSS document, Sep 24, 2026