QA Investigation Results

Pennsylvania Department of Health
A PEACE OF MIND HOME CARE, LLC
Health Inspection Results
A PEACE OF MIND HOME CARE, LLC
Health Inspection Results For:

This is the only survey for this facility

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 August 23, 2018, A Peace of Mind Home Care, LLC., 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 August 23, 2018, A Peace of Mind Home Care, LLC., 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:




611.56(a) LICENSURE
Health Screening

Name - Component - 00
(a) A home care agency or home care registry shall insure that each direct care worker and other office staff or contractors with direct consumer contact, prior to consumer contact, provide documentation that the individual has been screened for and is free from active mycobacterium tuberculosis.

Observations:


Based on review of CDC recommendations, personnel files (PF) and interview with Agency Adminstrator, it was determined the facility failed to ensure direct care workers were screened for and were free from active mycobacterium tuberculosis (TB) prior to assignment with consumers for five (5) out of ten (10) files reviewed. (PF #1, PF #2, PF #3, PF #4, PF #5).

Findings include:

The CDC guidelines state that all Health Care Workers (HCW) should received baseline tuberculosis screening upon hire, using a two-step tuberculin skin test (TST) of a single blood assay for tuberculosis (TB) to test for infection with tuberculosis. After baseline testing for infection with tuberculosis, HCWs should receive TB screen annually. HCWs with a baseline positive test for tuberculosis infections should receive one chest radiograph result to exclude tuberculosis disease. CDC Guidelines for preventing the transmission of Mycobacterium tuberculosis in health care settings, 2005. Morbidity and Mortality World Report 2005;(RR-17)
http://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf.

Review of personnel files conducted on August 23, 2018 at approximately 1030 AM revealed the following:


PF#1, date of hire (DOH): 7/11/18, contained no documentation of a two-step TST on hire
PF#2, (DOH): 7/2/18, contained no documentation of a two-step TST on hire
PF#3, (DOH): 1/10/18, contained no documentation of a two-step TST on hire.
PF#4, (DOH): 7/18/18, contained no documentation of a two-step TST on hire.
PF#5, (DOH): 6/20/18, contained no documentation of a two-step TST on hire.


An interview with the agency administrator conducted on August 23, 2018 at 12 PM confirmed the above findings.







Plan of Correction:

Corrective action taken for deficiency in acquiring appropriate PPD testing was for the selected 5, PF #1 was terminated (8/31/18), PF #2 Received additional PPD test that was within one year of previous test. (4/27/18 & 9/1/18) PF #3 received additional PPD test that was within one year of previous test. (1/30/18 & 8/27/18) PF #4 Received 2 step PPD, step two injection received and to be read on 9/5/18. Step one was negative. PF #5 received additional PPD test within one year of previous test. (7/3/18 & 8/28/18). All paperwork placed in files.
All charts will be reviewed and examined for any other employee missing 2 step PPD. Any employee found to be missing second step will be giveN 14 days to complete requirements. All new employees will have 14 days to complete PPD prior to being assigned to any client case. Charts will be routinely audited by the owner/president and assistant director to make sure all charts have the appropriate requirements.


Initial Comments:



Based on the findings of an onsite unannounced home care agency state re-licensure survey conducted on August 23, 2018, A Peace of Mind Home Care, LLC., was found to be in compliance with the requirements of 35 P.S. 448.809 (b).




Plan of Correction: