QA Investigation Results

Pennsylvania Department of Health
ACCESSABILITIES, INC.
Health Inspection Results
ACCESSABILITIES, INC.
Health Inspection Results For:


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Initial Comments:


Based on the findings of an onsite unannounced follow-up survey conducted 8/31/2017, Accessabilities Inc. had corrected the deficiency cited under PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart A, Chapter 51. The deficiency was cited as a result of a relicensure survey completed 5/29/2017.




Plan of Correction:




Initial Comments:



Based on the findings of an onsite unannounced follow-up survey conducted 8/31/2017, Accessabilities Inc. had not corrected all of the deficiencies cited under PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart H, Chapter 611, Home Care Agencies and Home Care Registries. The deficiencies were cited as a result of a relicensure survey completed 5/29/2017.








Plan of Correction:




611.57(c) LICENSURE
Information to be Provided

Name - Component - 00
(c) Prior to the commencement of services, the home care agency or home care registry shall provide to the consumer, the consumer's legal representative or responsible family member an information packet containing the following information in a form that is easily read and understood: (1) A listing of the available home care services that will be provided to the consumer by the direct care worker and the identity of the direct care worker who will provide the services. (2) The hours when those services will be provided. (3) Fees and total costs for those services on an hourly or weekly basis. (4) Who to contact at the Department for information about licensure requirements for a home care agency or home care registry and for compliance information about a particular home care agency or home care registry. (5) The Department's complaint Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA). (6) The hiring and competency requirements applicable to direct care workers employed by the home care agency or referred by the home care registry. (7) A disclosure, in a format to be published by the Department in the Pennsylvania Bulletin by February 10, 2010, addressing the employee or independent contractor status of the direct care worker providing services to the consumer, and the resultant respective tax and insurance obligations and other responsibilities of the consumer and the home care agency or home care registry.

Observations:



Based on a review of the plan of correction, policy, consumer records (CR) and staff interview, the agency failed to provide required information in writing to consumers/consumer representatives prior to the commencement of services for one (1) of (5) CR's reviewed (CR1).

Review of agency plan of correction on 8/31/2017 at approximately 3:00 PM revealed:
"...Participant Handbook is distributed and reviewed with consumers at the onset of services ...implemented an In-Home Observation Form to review and document the scope; frequency and duration of service to be provided, identification of direct care worker to provide the service, and detailed schedule including the days and times services are to be provided...All new consumers enrolled on or after June 5, 2017 will receive the revised Participant Handbook, associated sign off's and have the in-home observation form reviewed and completed. The Agency will scan the sign off forms and in-home observation form into each consumer's electronic file to be made available at all times for Department inspection. All active consumers will receive the revised Participant Handbook, complete the associated sign off forms and have reviewed the in-home observation form no later than July 22, 2017. The Agency will scan the associated sign off forms and in-home observation form into each consumer's electronic file that can be made available for Department inspection no later than July 22, 2017..."

Review of agency participant handbook on 8/31/2017 at approximately 10:57 AM revealed: "Participant Handbook, page 16, (section) Scope, Frequency, and Duration of Services, Personal Assistance Services will be provided as described in the participant's service plan that has been developed with the Service Coordinator. As a service provider, the expectation is that the services will meet the scope (intended service), frequency (how many times) and duration (how long each time) as written..."

A review of CR1 on 8/31/2017/2017 at approximately 1:27 PM revealed start of services on 8/18/2017. No documentation was made available to show the consumer/consumer representative was provided an information packet containing the following:
1. The services to be provided and the identity of the direct care worker who would provide services.
2. The hours when services would be provided.

An exit interview was conducted with the attendant coordinator, program manager and human resources generalist on 8/31/2017 at approximately 3:03 PM confirming the above findings.






Plan of Correction:

As of September 4, 2017 every consumer enrolled, regardless of the number of hours of service to be provided by accessAbilities, will receive the Participant Handbook, associated sign off' s and have the in-home observation form reviewed and completed. accessAbilities' Participant Handbook includes an Introduction Section; which contains the DOH contact information, complaint hot line number and accessAbilities hiring/competency requirements. The Participant Handbook also includes a Participant Rights and Responsibilities Section, Agency Policies and Procedures Section and an Appendix Section containing a list of helpful phone numbers. Participant Handbook sign off forms include: Handbook Acknowledgement; Authorization to Release Information; Notice of Privacy Practice; Fraud, Waste and Abuse; Notice of Direct Care Worker Status including tax and insurance obligations; Personal Protective Equipment Agreement; Notice of Hepatitis B Vaccine; Back-up Procedure, Transportation Policy and the In-Home Observation Form documenting the scope; frequency and duration of service to be provided, identification of direct care worker to provide the service, and detailed schedule including the days and times services are to be provided. The Agency scans the sign off forms and in-home observation form into each consumer's electronic file which is available at all times for Department inspection. To ensure continued compliance with Chapter 611.57(c), the Program Manager will review and present the results of a quarterly file review of 5% of active Consumer files at the quarterly Quality Management team meeting. On September 4, 2017 CR 1 received accessAbilities' Participant Handbook, associated sign offs and completed the in-home observation form. All documents were electronically scanned into consumer's electronic record September 6, 2017 and are available for Department inspection.


Initial Comments:


Based on the findings of an onsite unannounced follow-up survey conducted 8/31/2017, Accessabilities Inc. had corrected the deficiency cited under the requirements of 35 P.S. 448.809 (b).




Plan of Correction: