QA Investigation Results

Pennsylvania Department of Health
CAMBRIA HEALTH SERVICES, INC.
Health Inspection Results
CAMBRIA HEALTH SERVICES, INC.
Health Inspection Results For:


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Initial Comments:


Based on the findings of an onsite unannounced relicensure survey conducted 10/27/2017, 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 conducted 10/27/2017, 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 verification of two (2) positive references for the applicant for one (1) of seven (7) direct care worker (DCW) PFs reviewed (PF6).

Findings include:

Review of agency documentation on 10/27/2017 at approximately 2:52 PM revealed: " 4-58, Credentials, Health Requirements, and Face to Face ...Requirements and Credentials ...Reference1: Written/Verbal Date, Reference2: Written/Verbal Date, Reference 3: Written/Verbal Date, Reference 4: Written/Verbal Date ... "

A review of the PF6, date of hire 2/9/2017, conducted on 10/27/2017 at approximately 2:52 PM revealed the following: There was no information provided in the PFs to verify the agency had obtained evidence of two references having been verified as (2) positive references by the agency.

An exit interview with the administrator on 10/27/2017 at 3:00 PM confirmed the above findings.






Plan of Correction:

S0200
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.
All New employee files will be reviewed prior to actual hire date by Admin. (C.L) and Office Manager (G.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 Office Manager either verbally or mailed to the person named as reference.
The agency must receive at least two (2) verifiable references from each applicant affirming the applicant's ability to provide home care services prior to hire.
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.




Initial Comments:


Based on the findings of an unannounced state relicensure survey conducted on 10/27/2017 Cambria Health Services Inc. was found to be in compliance with the requirements of 35 P.S. 448.809 (b).



Plan of Correction: