Initial Comments:
Based on the findings of an on-site unannounced state licensure survey conducted on April 29, 2021, Providence Home Care was found to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 51, and Subpart A.
Plan of Correction:
Initial Comments:
Based on the findings of an on-site unannounced state licensure survey conducted on April 29., 2021, Providence Home Care was found not to be in compliance with the following requirement of Title 28 Health and Safety Part IV, Health Facilities, Subpart H. Chapter 611 Home Care Agencies and Home Care Registries.
Plan of Correction:
611.55(e) LICENSURE
Competency Requirements
Name - Component - 00
The competency review must occur at least once per year after initial competency is established, and more frequently when discipline or other sanction, including, for example, a verbal warning or suspension, is imposed because of a quality of care infraction.
Observations:
Based on a review of the direct care workers and an interview with the human resource manager and the administrator, the agency failed to ensure that the direct care workers have an annual competency review for eight (8) of ten (10) direct care worker files. Direct care worker files # 1, 2, 3, 6, 7, 8, 9, and 10.
Findings Include:
Review of direct care worker files on April 29, 2021 from 1400 to 1530 revealed:
Direct care worker # 1 with date of hire December 321, 2015, no documentation of an annual competency review for 2020.
Direct care worker # 2 with date of hire February 27, 2019, no documentation of an annual competency review for 2020.
Direct care worker # 3 with date of hire April 19, 2017, no documentation of an annual competency review for 2019 and 2020.
Direct care worker # 6 with date of hire March 25, 2013, no documentation of an annual competency review for 2019.
Direct care worker # 7 with date of hire March 25, 2013, no documentation of an annual competency review for 2020.
Direct care worker # 8 with date of hire august 7, 2019, no documentation of an annual competency review for 2020.
Direct care worker # 9 with date of hire February 8, 2018, no documentation of an annual competency review for 2019.
Direct care worker # 10 with date of hire June 17, 2016, no documentation of an annual competency review for 2018 and 2020.
Interview conducted on April 29, 2021 at 1600 with the scheduler and administrator confirmed that there was no annual competency review documented for the above files.
Plan of Correction: As of 4/29/2021 Providence Home Care Agency will ensure all direct care worker's files are reviewed and the individual's competency to perform assigned duties through direct observation, testing, training, consumer feedback, or other methods approved by the Department or through a combination of these methods. The competency review must occur at least once per year after initial competency is established, and more frequently when disciplining or other sanctions, including, for example, a verbal warning. We will audit all new hires/ employees prior to the delivery of care and competencies due each month. The Providence Home Care HR Manager and the Scheduling Manager will be trained on this process and our Policies will be updated to reflect all changes effective 6/8/2021.
Initial Comments:
Based on the findings of on-site unannounced state licensure survey conducted on April 29, 2021, Providence Home Care was found to be in compliance with the requirements of 35 P.S. 448.809(b).
Plan of Correction:
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