QA Investigation Results

Pennsylvania Department of Health
COMMUNITY RESOURCES FOR INDEPENDENCE, INC.
Health Inspection Results
COMMUNITY RESOURCES FOR INDEPENDENCE, INC.
Health Inspection Results For:


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Initial Comments:


Based on the findings of an onsite unannounced relicensure survey conducted 5/18/2017, Community Resources for Independence 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 state relicensure survey conducted 5/18/2017, Community Resources for Independence 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:




611.52(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 a review of policy, personnel files (PFs) and staff interview it was determined the agency failed to show proof of residency in this Commonwealth for the 2 years preceding the date of hire (DOH) for three (3) of eight (8) PFs reviewed (PF1, PF2 and PF5).

Findings include:

A review of agency policy on 5/18/2017 at approximately 9:50 AM revealed: "MANDATORY REQUIREMENTS...All employees-must provide proof that you have lived in PA for the past two years. Revision #4 09/06/2016."

A review of personnel files on 5/18/2017 approximately between 1:39 PM to 3:13 PM revealed:

PF #1 date of hire (DOH) 2/3/2015, there was a Pennsylvania driver's license with an issue date of 9/13/2013. There was no additional documentation in PF to show agency verified proof of residency in this Commonwealth for two (2) years immediately preceding the date of hire.

PF #2 DOH 11/1/2016, there was a Pennsylvania driver's license with an issue date of 2/27/2015. There was no additional documentation in PF to show agency verified proof of residency in this Commonwealth for two (2) years immediately preceding the date of hire.

PF #5 DOH 2/2/2016, there was a Pennsylvania driver's license with an issue date of 3/24/2015. There was a bank statement with an mailing date of 1/22/2014. There was no additional documentation in PF to show agency verified proof of residency in this Commonwealth for two (2) years immediately preceding the date of hire.

An interview with the office manager on 5/18/2017 at approximately 3:20 PM confirmed the above findings.



Plan of Correction:

Tag S 0330 611.52(d) Proof of Residency

CRI has revised its policy and form to require new employees to provide proof of residency in Pennsylvania for at least the two years prior to hire. Acceptable documents are to include:

(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.

If a new employee cannot provide proof of residency in Pennsylvania for at least the two years prior to hire, the employee is to 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.

PF #1, PR#2, and PF#5 shall be required to provide proof of residency in Pennsylvania for at least the two years prior to hire. This proof of residency shall be in place by May 31, 2017. If satisfactory proof of residency cannot be provided, this employee(s) will be subject to a Federal criminal history record and a letter of determination from the Department of Aging.

CRI will alter its systems to ensure that the problem does not recur by: In addition to, and as a backup to, the facility DCW supervisory staff and secretarial staff tracking the proof of residency, corporate HR will review incoming new employee hire information to double-check that satisfactory proof of residency has been obtained by the facility. This additional check has already been implemented.

(Revision 5/25/17) The facility secretary shall review the proof of residency in the files of current staff. Any current staff without acceptable proof of residency as per the above shall be required to provide acceptable proof of residency else submit to a Federal criminal history record and a letter of determination from the Department of Aging. The correction date for this action shall be by June 30, 2017.



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 a review of consumer records (CR) and staff interview, the agency failed to provide required information in writing to consumers/consumer representatives prior to the commencement of services for one (1) of ten (10) CRs reviewed (CR9).

Findings include:

A review of CR9 on 5/18/2017 at approximately 12:58 PM revealed start of services 3/7/2017. No documentation was made available to show the consumer/consumer representative was provided an information packet containing the following:
1. The hours when services would be provided.

An interview with the office manager on 5/18/2017 at approximately 3:20 PM confirmed the above findings.



Plan of Correction:

Tag S 0820 611.57(c) Information to be Provided
CRI does provide information to the consumers regarding the hours when services would be provided. In this particular instance, a copy of the original schedule was not in the consumer's file.

CRI shall correct this file by placing a copy of the original schedule as provided to the consumer in the consumer's file.

CRI will alter its systems to ensure the problem does not reoccur by: the facility secretary will check to ensure a copy of the original schedule provided to the consumer is included in a new consumer's file. The facility supervisor will be responsible for reviewing the secretary's work to see that this original schedule is placed in the consumer's file. This change has already been implemented.



Initial Comments:


Based on the findings of an unannounced state relicensure survey conducted on 5/18/2017, Community Resources for independence Inc. was found to be in compliance with the requirements of 35 P.S. 448.809 (b).


Plan of Correction: