QA Investigation Results

Pennsylvania Department of Health
CAREGIVERS OF THE LEHIGH VALLEY, LLC
Health Inspection Results
CAREGIVERS OF THE LEHIGH VALLEY, LLC
Health Inspection Results For:


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Initial Comments:

Based on the findings of an unannounced on-site state licensure survey conducted on November 14, 2019, Caregivers of the Lehigh Valley 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 state licensure survey conducted on unannounced on-site state licensure survey conducted on November 12, 2019, Caregivers of the LehighValley 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:




611.57(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 the agency admission packet, consumer files and interview with the two owners, the agency failed to ensure that the consumer was provided the documentation that the home care agency may not require a consumer to endorse checks over to the home care agency for seven (7) of seven (7) consumer files. Consumer files # 1, 2, 3, 4, 5, 6 and 7.
Findings:
Review of the admission packet with the service agreement on November 14, 2019 at 0930 revealed there was no documentation that the consumer was provided the documentation that the home care agency may not require a consumer to endorse checks over to the home care agency.
Review of consumers file on November 14, 2019 from 0930 to 1330 revealed:
Consumer file # 1 with start of care on January 31, 2018, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Consumer file # 2 with start of care on August 21, 2019, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Consumer file # 3 with start of care on October 22, 2013, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Consumer file # 4 with start of care on August 18, 2014, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Consumer file # 5 with start of care on January 3, 2018, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Consumer file # 6 with start of care on November 23, 2016, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Consumer file # 7 with start of care on March 26, 2018, no documentation that the consumer was informed that the home care agency may not require the consumer to endorse checks over to the home care agency.
Interview with the two owners on November 14, 2019 at 1500 confirmed that the service agreement did not state e that the consumer was informed that the home care agency may not require a consumer to endorse checks over to the home care agency .








Plan of Correction:

Regarding consumer files #1 thru 7
On 11/24/19 we have sent letters with the Prohibition 611.57 (b) attached.
Also, we updated all contracts on 11/24/19 for future consumers with the Prohibition 611.57(B) Disclosed.

YK (Administrator) will audit patient files admitted monthly until 100% compliance and then quarterly with documentation for one year in QA minutes.


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 the agency admission packet with the service agreement, consumer files and interview with the owners, the agency failed to ensure that the consumer was provided the documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA) for seven (7) of seven (7) consumers files. Consumer files # 1, 2, 3, 4, 5, 6 and 7.


Findings

Review of the admission packet with the service agreement on November 14, 2019 at 0930 revealed there was no documentation that the consumer was provided the documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Review of consumers file on November 14, 2019 from 0930 to 1330 revealed:
Consumer file # 1 with start of care on January 31, 2018, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Consumer file # 2 with start of care on August 21, 2019, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Consumer file # 3 with start of care on October 22, 2013, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Consumer file # 4 with start of care on August 18, 2014, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Consumer file # 5 with start of care on January 3, 2018, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Consumer file # 6 with start of care on November 23, 2016, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Consumer file # 7 with start of care on March 26, 2018, no documentation of who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).
Interview with the two owners on November 14, 2019 at 1500 confirmed that the service agreement did not document who to contact at the Department to file a complaint to the Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA).







Plan of Correction:

On 11/24/19 consumers #1-7 were mailed a letter disclosing who to contact at the department to file a complaint to the hot line 1(800)-254-5164. Also, the telephone number of the Ombudsman Program located with the local area on aging (AAA) for 7 of the 7 consumer files.
The below phone numbers were updated:
PA Ombudsman Program and Area Agency on Aging is 717-783-1550

Lehigh County Ombusman (610) 782-3034

Northampton Ombusman (610) 829-4540

YK (Administrator) will audit patient files admitted monthly until 100% compliance and then quarterly with documentation for one year in QA minutes.


Initial Comments:

Based on the findings of an unannounced on-site state licensure survey conducted on November 14, 2019, Caregivers of the Lehigh Valley was found to be in compliance with the requirements of 35 P.S. 448.809(b)




Plan of Correction: