QA Investigation Results

Pennsylvania Department of Health
EKIDZCARE
Health Inspection Results
EKIDZCARE
Health Inspection Results For:


There are  9 surveys for this facility. Please select a date to view the survey results.

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Initial Comments:

Based on the findings of an unannounced on-site Medicare recertification survey conducted on March 18, 2019 through March 21, 2019, Ekidzcare was found to be in compliance with the requirements of 42CFR, Part 484, Subparts B & C, Conditions of Participation: Home Health Agencies.




Plan of Correction:




Initial Comments:

Based on the findings of an onsite unannounced Medicare recertification survey conducted on March 18, 2019 through March 21, 2019, Ekidzcare was identified to have the following standard level deficiency that was determined to be in substantial compliance with the following requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.





Plan of Correction:




484.102(a)(4) STANDARD
Local, State, Tribal Collaboration Process

Name - Component - 00
[(a) Emergency Plan. The [facility] must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. The plan must do the following:]

(4) Include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the facility's efforts to contact such officials and, when applicable, of its participation in collaborative and cooperative planning efforts.

* [For ESRD facilities only at 494.62(a)(4)]: (4) Include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the dialysis facility's efforts to contact such officials and, when applicable, of its participation in collaborative and cooperative planning efforts. The dialysis facility must contact the local emergency preparedness agency at least annually to confirm that the agency is aware of the dialysis facility's needs in the event of an emergency.

Observations:

Based on interview with the administrator and regional operations manager and the review of agency documentation and the agency ' s emergency preparedness plan, the agency failed to have included a process for cooperation and collaboration with local, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency.

Findings:
Review of agency licensure application on March 21, 2019 at 1:00 PM revealed that the agency provides services to patients in Berks, Bucks, Carbon, Lehigh, Montgomery, Northampton, Monroe, and Schuylkill counties.
Review of emergency preparedness plan on March 21, 2019 at 1:00 PM, no documentation of process of collaboration with local emergency management officials, regional, State, and Federal emergency preparedness officials.
Interview with the administrator and regional operations manager on March 21, 2019 at 3:00 PM confirmed the above findings.







Plan of Correction:

Pertaining to tag 484.102(a)(4): Emergency Preparedness: Compliance Specialist will update the Emergency Preparedness Annual Assessment form and Emergency Preparedness Communication Plan, to reflect that all local/ county EMA personnel will be contacted annually. Forms will be updated by 5/2/19. Administrator will contact all EMA personnel in all counties serviced; documentation of communication will be placed in the Emergency Preparedness binder. Communication and documentation by Administrator. Administrator will document contact with each county by 5/2/19. Compliance Specialist will update the community partnerships spreadsheet with updated contact information for EMA personnel; if necessary. Annually, the Administrator will contact all local/ county EMA personnel in the counties serviced and send updated information to the Compliance Specialist; if necessary. Compliance Specialist will monitor for on-going compliance, during the quarterly audits. Next audit is scheduled for April 2019.


Initial Comments:

Based on the findings of an unannounced on-site state licensure survey conducted on March 18, 2019 through March 21, 2019, Ekidzcare was found to be in compliance with the requirements of 28 Pa. Code, Part IV, Health Facilities, and Subpart G. Chapter 601.





Plan of Correction:




Initial Comments:

Based on the findings of an unannounced on-site state licensure survey conducted on March 18, 2019 through March 21, 2019, Ekidzcare was found to be in compliance with the requirements of 28 Pa. Code, Part IV, Health Facilities, and Subpart A. Chapter 51.





Plan of Correction:




Initial Comments:

Based on the findings of an unannounced on-site state licensure survey conducted on March 18, 2019 through March 21, 2019, Ekidzcare was found to be in compliance with the requirements of 35 P.S. 448.809 (b).




Plan of Correction: