QA Investigation Results

Pennsylvania Department of Health
BLESSED HANDS HOME HEALTH CARE
Health Inspection Results
BLESSED HANDS HOME HEALTH CARE
Health Inspection Results For:


There are  7 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:


Based on the findings of an onsite unannounced home care agency state re-licensure survey conducted on April 8, 2019, Blessed Hands Home Health Care, was found to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 51, Subpart A.




Plan of Correction:




Initial Comments:



Based on the findings of an onsite unannounced home care agency state re-licensure survey conducted on April 8, 2019, Blessed Hands Home Health Care, was found not 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.





Plan of Correction:




611.51(a) LICENSURE
Hiring or Rostering Prerequisites

Name - Component - 00
Prior to hiring or rostering a direct care worker, the home care agency or home care registry shall: (1) Conduct a face-to-face interview with the individual. (2) Obtain not less than two satisfactory references for the individual. A satisfactory reference is a positive, verifiable reference, either verbal or written, from a former employer or other person not related to the individual that affirms the ability of the individual to provide home care services. (3) Require the individual to submit a criminal history report, in accordance with the requirements of 611.52 (relating to criminal background checks), and a ChildLine verification, if applicable, in accordance with the requirements of 611.53 (relating to child abuse clearance).

Observations:


Based on reviews of Personnel files (PFs), and an interview with the agency administrator and agency assistant administrator, the agency failed to demonstrate documentation that no less than two (2) satisfactory references had been verified prior to hiring or rostering the direct care worker for five (5) of ten (10) personnel files reviewed. (PFs # 1,3,4,5,8)

Findings include:


Reviews of personnel files conducted on 4/8/19 between approximately 11:50 am and 4:40 pm revealed the following:

PF#1, date of hire: 11/28/18, contained documentation of one reference being verified prior to the start date.

PF#3, date of hire: 2/7/18, contained documentation of only one verifiable reference. Second reference was completed by the applicant's family member.

PF#4, date of hire: 2/28/18, contained documentation of only one verifiable reference. Second reference was completed by the applicant's family member.


PF#5, date of hire: 3/15/19, contained incomplete documentation of two references being verified. Review of paperwork revealed no names of the person giving the reference and was not signed by person completing reference.

PF#8, date of hire: 10/1/18, contained documentation of one reference being verified prior to the start date.


An interview conducted with the Agency Administrator and Agency Assistant Adminstrator on 4/8/19 at approximately 5:00 pm confirmed the above findings.
























Plan of Correction:

Bhhhc, will require no less than 2 references,
1. One personnel
2. One professional

The Medical Secretary will call all references and run Criminal background before applicant is called for 2nd interview.

Human Resource will run monthly audits
to insure compliance.


611.51(b) LICENSURE
Direct Care Worker Files

Name - Component - 00
Files for direct care workers employed or rostered shall include documentation of the date of the face-to-face interview with the individual and of references obtained. Direct Care Worker files also shall include other information as required by 611.52, 611.53, if applicable, 611.54, 611.55 and 611.56 (relating to criminal background checks, child abuse clearance, provisional hiring, competency requirements; and health evaluations).

Observations:



Based on reviews of Personnel files (PFs), and an interview with the agency administrator and agency assistant administrator, the agency failed to demonstrate documentation that no less than two (2) satisfactory references had been verified prior to hiring or rostering the direct care worker for five (5) of ten (10) personnel files reviewed. (PFs # 1,3,4,5,8); the agency failed to demonstrate documentation that a federal criminal history was obtained on personnel not residing in the this Commonwealth for the two years immediately preceding the date of the request for a criminal history report in six (6) out of ten (10) personnel files reviewed. (PF# 1, PF# 3, PF# 4, PF# 5, PF #9 and PF# 10); the agency failed to provide documentation demonstrating each direct care worker had satisfactorily completed an initial competency exam containing ten (10) areas of care and an additional six (6) areas of personal care for seven (7) of ten (10) files reviewed. (PFs #1, #2, #3, #5, #6, #7, and #10).



Findings include:

Reviews of personnel files conducted on 4/8/19 between approximately 11:50 am and 4:40 pm revealed the following:

PF#1, date of hire: 11/28/18, contained documentation of one reference being verified prior to the start date.; contained documentation of PA ID issued 11/2018 with no other proof of PA residency being verified prior to the start date and no Federal criminal history record documented.; contained a written competency test containing all sixteen (16) areas required dated 11/28/18. There was no grade or signature of the person that reviewed the test.

PF#2, date of hire: 3/7/19, contained an incomplete written competency test containing all sixteen (16) areas required dated 3/6/19. There was no grade or signature of the person that reviewed the test.

PF#3, date of hire: 2/7/18, contained documentation of only one verifiable reference. Second reference was completed by the applicant's family member.; contained documentation of PA ID being issued 8/2018 with no other proof of PA residency being verified prior to the start date. Documentation verified in employment section of PF# 3 of being a New York resident until year 2017 and no Federal criminal history record documented.; contained incomplete documentation of a competency test being given with a score of 95% but no date.


PF#4, date of hire: 2/28/18, contained documentation of only one verifiable reference. Second reference was completed by the applicant's family member.; contained no documentation of PA ID and no other proof of PA residency being verified prior to the start date. No Federal criminal history record documented.

PF#5, date of hire: 3/15/19, contained incomplete documentation of two references being verified. Review of paperwork revealed no names of the person giving the reference and was not signed by person completing reference.; contained documentation of PA Drivers license issued 1/22/19 with no other proof of PA residency being verified prior to the start date. No Federal criminal history record documented.; contained an incomplete written competency test containing all sixteen (16) areas required dated 3/15/19. There was no grade or signature of the person that reviewed the test.

PF#6, date of hire:11/5/18, contained a written competency test containing all sixteen (16) areas required dated 11/5/18 with a score of 73% with no evidence of a remediation of the test or another competency exam given.

PF#7, date of hire: 3/29/19, contained contained an incomplete written competency test containing all sixteen (16) areas required dated 3/29/19. There was no grade or signature of the person that reviewed the test.

PF#8, date of hire: 10/1/18, contained documentation of only one reference being verified prior to the start date.

PF#9, date of hire: 12/23/17, contained no documentation of PA state ID and no other proof of PA residency being verified prior to the start date. No Federal criminal history record documented.

PF#10, date of hire: 3/19/19, contained documentation of PA ID issued 3/2019 and no other proof of PA residency being verified prior to the start date. No Federal criminal history.; contained an incomplete written competency test containing all sixteen (16) areas required dated 3/15/19. There was no grade or signature of the person that reviewed the test.



An interview conducted with the Agency Administrator and Agency Assistant Adminstrator on 4/8/19 at approximately 5:00 pm confirmed the above findings.





.





















Plan of Correction:

1. Bhhhc, will ensure that all applicants have a completed competency Test that contains (16) area of care prior to hiring. The test will be graded and signed by the interviewer
2, Bhhhc, will require proof the applicant has resided in the state of PA for 2 yrs. or more. If proof is unavailable Bhhhc will run an FBI check to verify two or more years of PA residency.

Human Resource will audit files monthly to insure compliance


611.52(c) LICENSURE
Federal Criminal History Record

Name - Component - 00
If the individual required to submit or obtain a criminal history report has not been a resident of this Commonwealth for the 2 years immediately preceding the date of the request for a criminal history report, the individual shall obtain a federal criminal history record and a letter of determination from the Department of Aging, based on the individual ' s Federal criminal history record, in accordance with the requirements at 6 PA. Code 15.144(b) (relating to procedure).

Observations:



Based on reviews of Personnel files (PFs), and an interview with the agency administrator and agency assistant administrator, the agency failed to demonstrate documentation that a federal criminal history was obtained on personnel not residing in the this Commonwealth for the two years immediately preceding the date of the request for a criminal history report in six (6) out of ten (10) personnel files reviewed. (PF# 1, PF# 3, PF# 4, PF# 5, PF #9 and PF# 10)



Review of Personnel files (PFs) conducted 4/8/19 from approximately 11:50 AM- 4:40 PM revealed the following:


PF#1, date of hire: 11/28/18, contained documentation of PA ID issued 11/2018 with no other proof of PA residency being verified prior to the start date and no Federal criminal history record documented.

PF#3, date of hire: 2/7/18, contained documentation of PA ID being issued 8/2018 with no other proof of PA residency being verified prior to the start date. Documentation verified in employment section of PF# 3 of being a New York resident until year 2017 and no Federal criminal history record documented.

PF#4, date of hire: 2/28/18, contained no documentation of PA ID with no other proof of PA residency being verified prior to the start date and no Federal criminal history record documented.

PF#5, date of hire: 3/15/19, contained documentation of PA Drivers license issued 1/22/19 with no other proof of PA residency being verified prior to the start date and no Federal criminal history record documented.

PF#9, date of hire: 12/23/17, contained no documentation of PA state ID and no other proof of PA residency being verified prior to the start date and no Federal criminal history record documented.

PF#10, date of hire: 3/19/19, contained documentation of PA ID issued 3/2019 and no other proof of PA residency being verified prior to the start date and no Federal criminal history record documented.

An interview conducted with the Agency Administrator and Agency Assistant Administrator on 4/8/19 at approximately 5:00 pm confirmed the above findings.


















Plan of Correction:

Bhhhc, will require proof the applicant has resided in the state of PA for 2 yrs. or more. If proof is unavailable Bhhhc will require valid PA ID and an FBI check to verify two or more years of PA residency.

Human Resource will audit employee files monthly for compliance


611.52(d) LICENSURE
Proof of Residency

Name - Component - 00
The home care agency or home care registry may request an individual required to submit or obtain a criminal history record to furnish proof of residency through submission of any one of the following documents:
(1) Motor vehicle records, such as a valid driver ' s license or a State-issued identification.
(2) Housing records, such as mortgage records or rent receipts.
(3) Public utility records and receipts, such as electric bills.
(4) Local tax records.
(5) A completed and signed, Federal, State or local income tax return with the applicant ' s name and address preprinted on it.
(6) Employment records, including records of unemployment compensation

Observations:


Based on reviews of Personnel files (PFs), and an interview with the agency administrator and agency assistant administrator, the agency failed to demonstrate documentation for proof of residency in six (6) out of ten (10) personnel files reviewed. (PF# 1, PF# 3, PF# 4, PF# 5, PF #9 and PF# 10)


Review of Personnel files (PFs) conducted 4/8/19 from approximately 11:50 AM- 4:40 PM revealed the following:


PF#1, date of hire: 11/28/18, contained documentation of PA ID issued 11/2018 with no other proof of PA residency being verified prior to the start date.

PF#3, date of hire: 2/7/18, contained documentation of PA ID being issued 8/2018 with no other proof of PA residency being verified prior to the start date. Documentation verified in employment section of PF# 3 of being a New York resident until year 2017.

PF#4, date of hire: 2/28/18, contained no documentation of PA ID with no other proof of PA residency being verified prior to the start date.

PF#5, date of hire: 3/15/19, contained documentation of PA Drivers license issued 1/22/19 with no other proof of PA residency being verified prior to the start date.

PF#9, date of hire: 12/23/17, contained no documentation of PA state ID and no other proof of PA residency being verified prior to the start date.

PF#10, date of hire: 3/19/19, contained documentation of PA ID issued 3/2019 and no other proof of PA residency being verified prior to the start date.

An interview conducted with the Agency Administrator and Agency Assistant Administrator on 4/8/19 at approximately 5:00 pm confirmed the above findings







Plan of Correction:

Bhhhc, will require proof the applicant has resided in the state of PA for 2 yrs. or more. If proof is unavailable Bhhhc will require valid PA ID to verify two or more years of PA residency. Bhhhc will use dated PA ID, utilities bills,income Tax returns as means of verification of PA residency prior to start dae..
Human Resource will audit employee files monthly for compliance


611.55(a) LICENSURE
Compentency Requirements

Name - Component - 00
Prior to assigning or referring a direct care worker to provide services to a consumer, the home care agency or home care registry shall ensure that the direct care worker has done one of the following: (1) Obtained a valid nurse ' s license in this Commonwealth;
(2) Demonstrated competency by passing a competency examination developed by the home care agency or home care registry which meets the requirements of subsection (b)and (c).
(3) Has successfully completed one of the following:
(i) A training program developed by a home care agency, home care registry, or other entity which meets the requirements of subsection (b) and (c).
(ii) A home health aide training program meeting the requirements of 42 C.F.R. 484.36 (relating to the Conditions of Participation; Home Health Aide Services).
(iii) The nurse aid certification and training program sponsored by the Department of Education and located at www.pde.state.pa.us.
(iv) A training program meeting the training standards imposed on the agency or registry by virtue of the agency ' s or registry ' s participation as a provider in a Medicaid waiver or other publicly funded program providing home and community based services to qualifying consumers.
(v) Another program identified by the Department by subsequent publication in the Pennsylvania Bulletin or on the Department ' s website.

Observations:


Based on reviews of Personnel files (PFs), and an interview with the agency administrator and agency assistant adminstrator, the agency failed to provide documentation demonstrating each direct care worker had satisfactorily completed an initial competency exam containing ten (10) areas of care and an additional six (6) areas of personal care for seven (7) of ten (10) files reviewed. (PFs #1, #2, #3, #5, #6, #7, and #10).


Reviews of personnel files conducted on 4/8/19 between approximately 11:50 am and 4:40 pm revealed the following:


PF#1, date of hire: 11/28/18, contained an incomplete written competency test containing all sixteen (16) areas required dated 11/28/18. There was no grade or signature of the person that reviewed the test.

PF#2, date of hire: 3/7/19, contained an incomplete written competency test containing all sixteen (16) areas required dated 3/6/19. There was no grade or signature of the person that reviewed the test.

PF#3, date of hire: 2/7/18, contained documentation of an incomplete competency test being given with a score of 95% not dated.

PF#5, date of hire: 3/15/19, contained an incomplete written competency test containing all sixteen (16) areas required dated 3/15/19. There was no grade or signature of the person that reviewed the test.

PF#6, date of hire:11/5/18, contained a written competency test containing all sixteen (16) areas required dated 11/5/18 with a score of 73% with no evidence of a remediation of the test or another competency exam given.

PF#7, date of hire: 3/29/19, contained contained an incomplete written competency test containing all sixteen (16) areas required dated 3/29/19. There was no grade or signature of the person that reviewed the test.

PF#10, date of hire: 3/19/19, contained an incomplete written competency test containing all sixteen (16) areas required dated 3/15/19. There was no grade or signature of the person that reviewed the test.


An interview conducted with the agency administrator and agency assistant adminstrator on 4/8/19 at approximately 5:00 pm confirmed the above findings.
















Plan of Correction:

Bhhhc, will ensure that all applicants have the 16 part Competency and passed the test with an 80% or more prior to hiring. Bhhhc, will ensure that all applicants have a completed competency Test the test will be graded and signed by the interviewer

Human Resource will audit monthly for compliance


Initial Comments:



Based on the findings of an onsite unannounced home care agency state re-licensure survey conducted on April 8, 2019, Blessed Hands Home Health Care, was found to be in compliance with the requirements of 35 P.S. 448.809 (b).





Plan of Correction: