Initial Comments:
Based on the findings of an onsite unannounced relicensure survey completed November 3, 2022, Active Life Inc., was found to be in compliance with the requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart A, Chapter 51.
Plan of Correction:
Initial Comments:
Based on the findings of an onsite unannounced relicensure survey completed November 3, 2022, Active Life Inc., was found NOT to be in compliance with the following requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart H, Chapter 611, Home Care Agencies and Home Care Registries.
Plan of Correction:
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 review of employee files, and interview with the office Director, it was determined that the agency failed to conduct a face-to-face interview with the individual, and to obtain two verifiable references that affirms the ability of a Direct Care Worker, (DCW) to provide home care services for five (5), of five, (5), Direct Care Worker, (DCW), personnel files reviewed. (DCW # 1, 2, 3, 4, and 5).
Findings include:
1. Review of personnel files on November 3, 2022, at approximately 1:00 p.m. revealed that DCW #1 was hired on August 17, 2017. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained prior to an assignment.
2. Review of personnel files on November 3, 2022, at approximately 1:15 p.m. revealed that DCW #2 was hired on June 27, 2019. There was no documented evidence hat two verifiable references were obtained prior to an assignment.
3. Review of personnel files on November 3, 2022, at approximately 1:30 p.m., revealed that DCW #3 was hired on March 11, 2019. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained prior to an assignment.
4. Review of personnel files on November 3, 2022, at approximately 1:45 p.m. revealed that DCW #4 was hired on December 25, 2018. There was no documented evidence that two verifiable references were obtained prior to an assignment.
5. Review of personnel files on November 3, 2022, at approximately 2:00 p.m. revealed that DCW #5 was hired on February 10, 2021. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained prior to an assignment.
An interview with the Director on November 3, 2022, at 2:25 p.m., confirmed that the agency had failed to conduct a face-to-face interview, and to obtain two verifiable references for each DCW employed at the agency.
Plan of Correction:1. Active Life management will
closely monitor the policy
implementation.
Active Life will request
employees to stop at office to
complete the files.
The results obtained from each
reference verification will be
documented and file.
2. Active Life management will
closely monitor the policy
implementation.
The results obtained from each
reference verification will be
documented and file.
3. Active Life management will
closely monitor the policy
implementation.
Active Life will request
employees to stop at office to
complete the files
The results obtained from each
reference verification will be
documented and file.
4. Active Life management will
closely monitor the policy
implementation.
The results obtained from each
reference verification will be
documented and file
5. Active Life management will
closely monitor the policy
implementation.
Active Life will request
employees to stop at office to
complete the files.
The results obtained from each
reference verification will be
documented and file.
611.55(e) LICENSURE
Competency Requirements
Name - Component - 00
The competency review must occur at least once per year after initial competency is established, and more frequently when discipline or other sanction, including, for example, a verbal warning or suspension, is imposed because of a quality of care infraction.
Observations:
Based on review of personnel files, and interview with the office Director, it was determined that the agency failed to establish initial competencies and annual competencies for five, (5) of five, (5), Direct Care Worker, (DCW), personnel files reviewed. (DCW #1, 2, 3, 4, and #5).
Findings include:
1. Review of personnel files on November 3, 2022, at approximately 1:00 p.m. revealed that DCW #1 was hired on August 17, 2017. There was no evidence that annual competencies were conducted from year 2018, through 2022.
2. Review of personnel files on November 3, 2022, at approximately 1:15 p.m. revealed that DCW #2 was hired on June 27, 2019. There was no evidence that annual competencies were conducted from year 2020, through 2022.
3. Review of personnel files on November 3, 2022, at approximately 1:30 p.m., revealed that DCW #3 was hired on March 11, 2019. There was no evidence that annual competencies were conducted from year 2020, through 2022.
4. Review of personnel files on November 3, 2022, at approximately 1:45 p.m. revealed that DCW #4 was hired on December 25, 2018. There was no evidence that an initial competency had been conducted in 2018. There was no evidence that an annual competency had been conducted for year 2020.
5. Review of personnel files on November 3, 2022, at approximately 2:00 p.m. revealed that DCW #5 was hired on February 10, 2021. There was no evidence that an initial competency had been conducted in year 2021. There was no evidence that annual competency was conducted for year 2022.
An interview with the Director on November 3, 2022, at 2:25 p.m., confirmed that the agency had failed to conduct initial and annual competencies for DCW's hired by the agency.
Plan of Correction:Active Life will ensure that
policy is strictly enforced by
management.
Active Life will provide
employees the site to take the test.
1.Active Life management will
closely monitor the policy
implementation and request
employee to accomplish with
this requirement.
2. Active Life management will
closely monitor the policy
implementation and request
employee to accomplish with
this requirement.
3. Active Life management will
closely monitor the policy
implementation and request
employee to accomplish with
this requirement.
4. Active Life management will
closely monitor the policy
implementation and request
employee to accomplish with
this requirement.
5. Active Life management will
closely monitor the policy
implementation and request
employee to accomplish with
this requirement.
Initial Comments:
Based on the findings of an onsite unannounced relicensure survey completed November 3, 2022, Active Life Inc., was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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