Initial Comments:
Based on the findings of an on-site unannounced state re-licensure survey conducted on April 30, 2025, Caring Matters Home Care 010 was found to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 51, Subpart A.
Plan of Correction:
Initial Comments:
Based on the findings of an on-site unannounced home care agency state re-licensure survey conducted on April 30, 2025, Caring Matters Home Care 010 was found not to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 611, Subpart H. Home Care Agencies and Home Care Registries.
Plan of Correction:
611.56(a) LICENSURE
Health Screening
Name - Component - 00
(a) A home care agency or home care registry shall insure that each direct care worker and other office staff or contractors with direct consumer contact, prior to consumer contact, provide documentation that the individual has been screened for and is free from active mycobacterium tuberculosis.
Observations:
Based upon review of direct care worker personnel files (PF) and an interview with the agency Administrator, the agency failed to ensure a symptom screening questionnaire and/or an individual TB risk assessment were completed upon hire for four (7) of seven (7) PF reviewed (PF# 2, 3, 5, and 7), and annual TB education was completed for six (6) of seven (7) PF reviewed (PF # 1, 2, 3, 4, 6, and 7).
Findings Include:
The CDC (Centers for Disease and Control and Prevention) guidelines state baseline (preplacement) screening and testing, in addition to the IGRA (interferon-gamma release assay) or tuberculin skin test (TST), shall include a symptom screen questionnaire and an individual tuberculosis (TB) risk assessment. Serial screening and testing not routinely recommended. Annual TB education is recommended. (CDC/MMWR/May 17, 2019/Vol. 68/No. 19).
A review of PF's conducted on April 30, 2025, from approximately 12:00 P.M. to 1:15 P.M. revealed the following:
PF #1, date of hire May 16, 2022, contained no documentation of annual TB education.
PF #2, date of hire March 4, 2020, contained no documentation of a completed TB symptom screening questionnaire and annual TB education
PF #3, date of hire November 4, 2012, contained no documentation of a completed TB symptom screening questionnaire and annual TB education.
PF #4, date of hire September 8, 2014, contained no documentation of annual TB education.
PF #5, date of hire July 16, 2024, contained no documentation of a completed TB symptom screening questionnaire.
PF #6, date of hire March 18, 2022, contained no documentation of annual TB education.
PF #7, date of hire January 3, 2024, contained no documentation of a completed TB symptom screening questionnaire and annual TB education.
An interview with the agency Administrator on April 30, 2025, at approximately 2:00 P.M. confirmed the above findings.
Plan of Correction:For PF #1, PF #2, PF #3, PF #4, PF #5, PF#6, and PF#7, Per our company policy and procedures under #1206: Annual TB(Tuberculosis) Questionnaires and Annual TB(Tuberculosis) Training,
1. Caring Matters Home Care will correct the deficiency by ensuring every employee will complete the TB symptom screening questionnaire and the annual TB education. All employees will be required to complete and sign the information.
2. Caring Matters Home Care will add the TB screening and annual TB testing as part of the required yearly training.
3. Caring Matters Home Care will review the employee's files and status during their quarterly QMP meeting. The review will include, but not limited to verification when employees' annual training has been completed.
4. The CEO/Administrator will be responsible for monitoring the implementation of the POC
5. Caring Matters Home Care will have this process completed by May 16, 2025.
Initial Comments:
Based on the findings of an on-site unannounced home care agency state re-licensure survey conducted on April 30, 2025, Caring Matters Home Care 010 was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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