QA Investigation Results

Pennsylvania Department of Health
AGGIE HOME CARE, INC.
Health Inspection Results
AGGIE HOME CARE, INC.
Health Inspection Results For:


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Initial Comments:


Based on the findings of an onsite unannounced follow-up survey completed February 12, 2020, Aggie Home Care Inc., was found not to have corrected the deficiencies and not be in compliance with the requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart H, Chapter 611, Home Care Agencies and Home Care Registries. The deficiencies were cited as a result of a follow up survey completed on 11/12/19.


















Plan of Correction:




611.57(b) LICENSURE
Prohibitions

Name - Component - 00
(b) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry. The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry.

Observations:



Based on a review of agency submitted Plan of Correction, consumer files (CF) and staff (EMP) interview, it was determined the agency failed to correct the deficiency by failing to include in the consumer welcome pack that no individual, as a result of that person's affiliation with the agency, may assume power of attorney or guardianship over a consumer utilizing the services of the agency and that the agency may not require a consumer to endorse checks over to the agency for one (1) of one (1) CF. (CF1)


Findings included:

Review of agency submitted Plan of Correction as part of pre-survey preparation on January 30, 2020 at approximately 11:00 a.m. revealed: "...No individual as a result of the individuals affiliation with a home care agency...This will be in our new welcome packet and explained to the client with also a sign off sheet to show that the client was informed. This will be monitored by the Administrator on a new client basis as well going back to all existing clients..."

Review of new agency developed consumer welcome packet on February 12, 2020 at approximately 9:40 a.m. revealed no addition of prohibitions to documentation.

On February 12, 2020 at approximately 10:30 a.m. review of information contained in welcome pack with owner for CF1, start of service (SOS) 1/27/2020 confirmed no evidence of prohibitions informing consumer that no individual with affiliation with the agency, may assume power of attorney or guardianship over a consumer utilizing the services of the agency and that the agency may not require a consumer to endorse checks over to the agency.

Repeat deficiency, previously cited: 8/16/19, 11/12/19





























Plan of Correction:

Presently this is the form that is in our welcome packet.

No one in the agency known as
AGGIE HOME CARE Inc. or any of their employees can be granted the Power of Attorney or Guardianship over any consumer.

The consumer will not endorse any checks to the agency or any of it's employees.

Employee cannot use any consumers credit cards.

Effective as of 02-15-2020

Assistant office director will do monthly checks to make sure that this problem does not happen again.

As to when all current clients will be updated, I have already done it two times and it now will only happen when everything is signed off and ready to go. Then with in 30 days it will be in all clients homes.


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 agency submitted plan of correction, consumer files(CF), and staff (EMP) interview, it was determined the agency failed to correct the deficiencies by failing to provide to the consumer or the consumer's legal representative an information packet containing the following information: who to contact at the Department for information about licensure requirements for a home care agency, the Department's Complaint Hot Line, and a disclosure, in a format to be published by the Department, 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 for one (1) of one (1) CF. (CF1)


Findings included:

Review of agency submitted Plan of Correction part of pre-survey preparation on January 30, 2020 at approximately 11:00 a.m. revealed: "...We have placed a new sign off page in our welcome packet that contains all of the information in Chapter 611.57 , paragraph (c) thru and including paragraph (d). To be signed off by the client. This will be distributed to all clients and be in the welcome packet going forward. With a sign off sheet to show that it has been explained to the client. To be monitored by the Administrator..."

Review of new agency developed consumer welcome packet on February 12, 2020 at approximately 9:40 a.m. revealed no addition of Department for information about licensure requirements, the Department's Complaint Hot Line, or a disclosure, in a format to be published by the Department, 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. Consumer welcome pack contained paragraph developed by agency in incorrect format.


On February 12, 2020 at approximately 10:30 a.m. review of information contained in welcome pack with owner for CF1, start of service (SOS) 1/27/2020 confirmed no evidence of prohibitions informing consumer that no individual with affiliation with the agency, may assume power of attorney or guardianship over a consumer utilizing the services of the agency and that the agency may not require a consumer to endorse checks over to the agency.


Repeat deficiency, Previously cited: 7/9/12, 3/6/19, 6/4/19, 8/16/19, 11/12/19




























Plan of Correction:

Presently this is the form that is in our welcome packet.

No one in the agency known as
AGGIE HOME CARE Inc. or any of their employees can be granted the Power of Attorney or Guardianship over any consumer.

The consumer will not endorse any checks to the agency or any of it's employees.

Employee cannot use any consumers credit cards.

This form is in our welcome packet as of 02-15-2020 with a signoff by Client and AGGIE HOME CARE rep.

effective 02-15-2020

Assistant office director will do follow up monthly.

The deficiency as it relates to the patient has been resolved with a one on one meeting with the client and a full explanation of reason that we do this for their own safety. Before signing off on the form.

All staff is instructed as to what not to do and informed of possible dismissal if they are found to be in violation of this policy.

Supervisors will do a six week fellow up with all clients to see that this does not occur .

The assistant office director will monitor this process on a six week basis to make sure that everything is signed and placed where it should be also to make sure that all staff has a thorough understanding of this policy.

The ASSISTANT OFFICE DIRECTOR will monitor the implementation of this plan.

This is effective as of March the First of 2020. It is being placed in all clients homes.
To be monitored Assistant Office Director.

Our plan of correction is that we have completely updated our welcome with a new phone list that has all of the up dated hot line numbers , notice of direct care worker status, use of client money form. The new packet and all of it's contents will placed in all of the clients homes.
The administrator will monitor this on a monthly basis and do quarterly follow up to see if changes are needed. This can be started as of 03/19/2020 and fully implemented by 04/02/2020.