Initial Comments:
Based on the findings of an onsite unannounced State relicensure survey completed 10/28/2021, Cambria Health Services 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 completed 10/28/2021, Cambria Health Services Inc. was found not to be in compliance with the following requirement 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(a) LICENSURE Hiring or Rostering Prerequisites Name - Component - 00 Prior to hiring or rostering a direct care worker, the home care agency or home care registry shall: (1) Conduct a face-to-face interview with the individual. (2) Obtain not less than two satisfactory references for the individual. A satisfactory reference is a positive, verifiable reference, either verbal or written, from a former employer or other person not related to the individual that affirms the ability of the individual to provide home care services. (3) Require the individual to submit a criminal history report, in accordance with the requirements of § 611.52 (relating to criminal background checks), and a ChildLine verification, if applicable, in accordance with the requirements of § 611.53 (relating to child abuse clearance).
Observations:
Based on review of agency policy, personnel files (PF) and staff interview, it was determined the agency failed to obtain (2) positive references from a former employer or other person not related to the staff member for one (1) of five (5) direct care worker (DCW) PFs reviewed (PF4).
Findings included:
A review of the agency policies was conducted on 10/27/2021 at approximately 11:02 AM revealed, "New Hire Employee Handbook...Access to Personnel Files (Agency) maintains a personnel file on each employee. The personnel file includes such information as: employees job application, resume, records of training, documentation of performance, appraisals...and any information needed to comply with the state health department regulations..."
A review of the PF4, date of hire 3/24/2019, was conducted on 10/27/2021 at approximately 12:35 PM which revealed the following: No information was provided in the PFs to confirm the agency had obtained evidence of two satisfactory reference from a former employer or other person not related to the individual that affirms the ability of the individual to provide home care services. Two references checks were completed by the agency on 2/22/2019. Both "PERSONAL PRE-EMPLOYMENT PHONE REFERENCE CHECK...Is applicant: ___Friend___Relative____Co-Worker..." both documents were marked under the section for relative.
An exit interview was conducted with the administrator on 10/27/2021 approximately 2:00 PM which confirmed the above findings.
Plan of Correction:0200 Administrator will obtain four (4) reference request forms from prospective employee at the time of the face to face interview.
Office Manager or Administrator will verify at least two (2) of the references to be positive, verifiable references, either verbal or written, from a former employer or other person not related to the individual that affirms the ability of the individual to provide home care services prior to hiring prospective employee.
No references will be accepted from a relative and this option was removed from the reference request forms to avoid any further confusion or misconception.
All New employee files will be reviewed prior to actual hire date by Admin. (C.L) and Supervisor (V.M.) both will review new hire charts and sign off on the new hire check sheet to ensure that all, paperwork is completed and compliance requirements are met.
STANDARD POLICY & PROCEDURE APPLICANT REFERENCE REQUEST FORMS
Each applicant at the time of interview will be required to furnish the agency with two (2) professional references – from a former employer, and two (2) personal references –from a person not related to the applicant that can affirm the ability of the applicant to provide home care services.
The references may be verified by the Administrator or Supervisor either verbally or mailed to the person named as reference.
The agency must receive at least two (2) verifiable references from each applicant from a former employer or other person not related to the individual that affirms the ability of the individual to provide home care services prior to hiring prospective employee.
No references will be accepted from a relative.
All references obtained will be placed in the applicants personnel file and will become a permanent part of the file.
In the case the applicant is not hired, the references forms will be kept on file with the application and other documentation for a period of 1 year.
Pre Employment Reference Request (Non-relative) Cambria Health Services, 1506 Railroad Street, Summerhill Pa 15958
Position Applied For____________________________________________________________ Reference Name______________________________________________________________ Phone Number________________________________________________________________ _______________________________ (Applicant Name) has applied for employment with our company and has given authorization to communicate with you for verification and any reference information you care to give.
Applicant's Relation to you Friend Co Worker Other__________
How long have you known the applicant and in what capacity? How would you rate the applicant in the following areas: Gets along well with others Ability to follow direction Ability to show empathy Dependability Honesty Integrity Time Management
Excellent Good Fair Poor
What would you describe as positive traits ofapplicant.
What would you describe as negative traits ofapplicant.
The applicant is being considered for employment in the position of _________________________. Do you feel the applicant would be good at performing in this capacity? Yes No Why?
How comfortable would you be having the applicant work alone in your home? How comfortable would you be having the applicant take care of your family member?
How would you describe the applicant's character and work ethic? Is there any additional information that you feel we should know in considering this individual for employment?
Applicant Signature________________________________________ Date____________________
Office Staff Signature_______________________________________ Date____________________
Initial Comments:
Based on the findings of an onsite unannounced State relicensure survey completed 10/28/2021, Cambria Health Services Inc. was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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