Initial Comments:
Based on the findings of an onsite complaint survey completed 2/1/24, Homewatch Caregivers of Williamsport, 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 onsite home care agency complaint survey completed 2/1/24, Homewatch Caregivers of Williamsport, 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:
611.57(a) LICENSURE
Consumer Rights
Name - Component - 00
(a) The consumer of home care services provided by a home care agency or through a home care registry shall have the following rights: (1) To be involved in the service planning process and to receive services with reasonable accommodation of individual needs and preferences, except where the health and safety of the direct care worker is at risk. (2) To receive at least 10 calendar days advance written notice of the intent of the home care agency or home care registry to terminate services. Less than 10 days advance written notice may be provided in the event the consumer has failed to pay for services, despite notice, and the consumer is more than 14 days in arrears, or if the health and welfare of the direct care worker is at risk.
Observations:
Based on a review of agency documentation, consumer records (CR) reviews and interview with the Administrator the agency failed to provide services with reasonable accomodation of individual needs and preference for one (1) of three (3) consumer records (CR) reviewed CR#1
Findings included:
Review of consumer records (CR) on 1/26/24 from 1:30 PM through 4:00 PM and 1/31/24 at 11:00 AM revealed the following:
CR#1 start of services 5/26/20 Authorization for hours for this consumer is 38.5 hours per week. Preferred schedule is daily 8:00AM to 11 AM and 8:00 PM to 10:30 PM
On the morning of 1/19/24 the consumer did not have services. There was no documentation the service coordinator was made aware or the reason for the missed shift.
Documentation revealed there was a back up plan for the consumer that states, " If primary/scheduled caregiver is unable to fulfill shift each non-scheduled caregiver is to be called ...if still unable to fulfill coverage informal support is to be notified and used. Informal support is sister who lives in Williamsport.
There is no date or signature of the consumer showing the consumer was made aware and understood this informal support is to be utilized if formal caregivers are not available.
Interview with the administrator on 2/1/24 at 8:30 AM confirmed the above findings
Plan of Correction:The client will have visit from office staff of HWCG to review service agree to include hours of coverage by day. Client will be offered access to free electronic Family Portal that has access to live schedule, messaging, etc... If the client declines, monthly paper schedules will be provided to the client. The revised client agreement will include hours of services called out by day, defined back up plan with individuals listed (name only), outline of when and how informal support will be used if all back up plans fail, and space for client signature and date. A client visit will occur anytime the client's hours of service (authorization) change. Monitoring will be completed by the Billing Specialist as they review the shift notes and EVV status daily.
The above outlines how ALL clients will be communicated with concerning hours of service provided/authorized, offer of Family Portal access, outline of informal support to be signed and dated upon implementation and subsequent changes in hours. Each client's service agreement will be revised on the next in person visit... be it QA or change in hours.
In person visits are to be performed by Director of Client Services or owner.
Access to Family Portal, hours authorized, to be maintained by Billing Specialist.
Review and updates of all clients to be completed by April 01, 2024.
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