Initial Comments:
Based on the findings of an unannounced on-site state home care agency re-licensure survey conducted on May 22, 2025, Community Resources For Independence, Inc., 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 unannounced on-site state home care agency re-licensure survey conducted on May 22, 2025, Community Resources For Independence, Inc., was found not to be in compliance with 28 PA Code, Health Facilities, Part IV, Chapter 611, Subpart H, Homecare Agencies and Home Care Registries.
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 review of consumer files (CFs) and interview with agency regional manager (EMP #1), it was determined agency failed to provide, prior to the commencement of services, to the consumer the identity of the direct care worker who will provide the services to five (5) of five (5) CFs reviewed (CF# 1, CF# 2, CF# 3, CF# 4 and CF# 5)
Findings include:
Review of EFs conducted on May 22, 2025 between approximately 1:00 p.m. and 1:45 p.m. revealed the following:
CF# 1, Start of Service, (SOS), 4/15/2025: No documentation of the identity of direct care worker being provided to consumer prior to commencement of services.
CF# 2, SOS, 3/19/2025: No documentation of the identity of direct care worker being provided to consumer prior to commencement of services.
CF# 3, SOS, 1/10/2024: No documentation of the identity of direct care worker being provided to consumer prior to commencement of services.
CF# 4, SOS, 4/12/2024: No documentation of the identity of direct care worker being provided to consumer prior to commencement of services.
CF# 5, SOS, 1/18/2024: No documentation of the identity of direct care worker being provided to consumer prior to commencement of services.
An interview with the agency EMP #1 conducted on May 22, 2025 at approximately 2:30 p.m. confirmed the above findings.
Plan of Correction:CRI will update its "Initial Intake Summary" form to include that prior to the commencement of services, the identity of the direct care worker (DCW) who will provide services was reviewed with the consumer.
CRI provides schedules prior to service delivery to allow for consumers to be involved in the service planning process and communicate any issues and/or concerns which they may have.
The Regional Manager of the Lewistown office will meet with staff to educate them on this update to CRI's Initial Intake Summary form prior to 5/30/2025 and be responsible to ensure the update is reviewed with consumers at time of intake.
Over the next 30 days, CRI's Quality Manager will audit files to ensure the update has been made to the Initial Intake Summary form and will monitor for consumer signatures - verifying that this information has been reviewed with them at time of intake. After that, the Regional Manager will be responsible to monitor this POC update to ensure its continued implementation.
Initial Comments:
Based on the findings of an unannounced on-site state home care agency re-licensure survey conducted on May 22, 2025, Community Resources For Independence, Inc., was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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