QA Investigation Results

Pennsylvania Department of Health
COMPASSIONATE HEARTS PERSONAL ASSISTANCE
Health Inspection Results
COMPASSIONATE HEARTS PERSONAL ASSISTANCE
Health Inspection Results For:


There are  4 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.



Initial Comments:


An off site follow up survey was conducted on October 24, 2017, Compassionate Hearts Personal Assistance, corrected the deficiencies and was found to be in compliance with the requirements of 28 PA Code, Health Facilities, Part IV, Chapter 611, Subpart H, Home Care Agencies and Home Care Registries. The deficiencies were cited as a result of a home care agency state licensure complaint investigation survey conducted on May 12, 2017.








Plan of Correction:




Initial Comments:


An off site follow up survey was conducted on October 24, 2017, Compassionate Hearts Personal Assistance, did not correct the deficiency and was found to be not in compliance with the requirements of 35 P.S. 448.809 (b). The deficiencies were cited as a result of a home care agency state licensure complaint investigation survey conducted on May 12, 2017.







Plan of Correction:




35 P. S. 448.809b LICENSURE
Photo Id Reg

Name - Component - 00
(1) The photo identification tag shall include a recent photograph of the employee, the employee's name, the employee's title and the name of the health care facility or employment agency.

(2) The title of the employee shall be as large as possible in block type and shall occupy a one-half inch tall strip as close as practicable to the bottom edge of the badge.

(3) Titles shall be as follows:
(i) A Medical Doctor shall have the title " Physician. "
(ii) A Doctor of Osteopathy shall have the title " Physician. "
(iii) A Registered Nurse shall have the title " Registered Nurse. "
(iv) A Licensed Practical Nurse shall have the title " Licensed Practical Nurse. "
(v) Abbreviated titles may be used when the title indicates licensure or certification by a Commonwealth agency.



Observations:


Based upon review of Identification Badges (ID) samples submitted, agency is not in compliance with badge requirments for size of titles nor location of title on ID badge for fourteen (14) caregivers and two (2) office staff. (EMP#1-4).

Findings included:

Review of ID badges for Director of Care ( EMP #1), Personal Care Assistants (EMP#2-4) , agency failed to format badges per regulation. Titles are located in the center of the ID badge, and the font size is not 1/2 inch tall in block

Interview with Director of Care on October 26, 2017 at 12:05 PM who confirmed above findings.




Plan of Correction:

Per Section 809b of the Health Care Facilities Act effective November 27, 2017 Compassionate Hearts Personal Assistance has instituted an Employee badge requirement as the following:
All rostered Personal Care assistants are required to wear a badge with the following perimeters:

1. Recent Photo identification (recent defined as not more than four years old

2. Full name will be included on the badge along with FULL title (no abbreviations). The title will be in Block letters and will be a minimum of 1/2 inch tall located as close as practicable to the bottom edge of the badge

3. Compassionate Hearts Personal Assistance (agency name) will be included on badge

4. Employee Number (provided by Agency Management system) will be included on the badge.

5. Director of Care (DOC) will monitor the badge policy. Badge policy has been updated and included on Agency new hire paperwork. DOC will sign off that proper badge has been given to Direct Care worker and President of Agency will double check and sign off on DOC's initials providing a second set of eyes that policy is being met.

**This policy was updated on 11/13/2017 as our Agency Management System perimeters we thought were being met are not. We are utilizing Microsoft Word for our badges until the time our AMS perimeters can be adjusted to meet Department** regulations.