Initial Comments:
Based on the findings of an onsite state re-licensure survey conducted on April 3, 2025, Benie Home Care, LLC, 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 state re-licensure survey conducted on April 3, 2025, Benie Home Care, LLC, 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:
611.51(a) LICENSURE
Hiring or Rostering Prerequisites
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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 personnel files (PF) and interview with the administrator, it was determined that personnel files did not include documentation that two (2) references were verified prior to hire for five (5) of five (5) personnel files reviewed. (PF1, PF2, PF3, PF4, and PF5)
Findings Include:
Review of personnel files (PF) was conducted on 4/3/2025 from approximately 10:29AM until approximately 11:05AM revealed:
PF1 - (Date of Hire): 4/30/2024 - File did not contain documentation of two (2) verified references.
PF2 - (Date of Hire): 9/2/2023 - File did not contain documentation of two (2) verified references.
PF3 - (Date of Hire): 7/1/2023 - File did not contain documentation of two (2) verified references.
PF4 - (Date of Hire): 11/12/2024 - File did not contain documentation of two (2) verified references.
PF5 - (Date of Hire): 12/15/2024 - File did not contain documentation of two (2) verified references.
An interview with the administrator on 4/3/2025 at approximately 12:05PM confirmed the above findings.
Plan of Correction:Plan of correction is to Create a space on our hiring documentation that will include verified references.
611.52(a) LICENSURE
Criminal Background Checks
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The home care agency or home care registry shall require each applicant for employment or referral as a direct care worker to submit a criminal history report obtained at the time of application or within 1 year immediately preceding the date of application.
Observations:
Based on review of personnel files (PF), and interview with the administrator, it was determined that personnel files did not include documentation of a State Police Criminal History report on hire for one (1) of five (5) personnel files reviewed. (PF5)
Findings Include:
Review of personnel files (PF) was conducted on 4/3/2025 from approximately 10:29AM until approximately 11:05AM revealed:
PF5 - (Date of Hire): 12/15/2024 - File contained an ePatch request dated 8/1/2024. File did not contain a Pennsylvania Access To Criminal History report (PATCH) on hire.
An interview with the administrator on 4/3/2025 at approximately 12:05PM confirmed the above finding.
Plan of Correction:Plan of correction is to run a new criminal background check with the (PATCH) for the personnel file that was missing said document
611.56(a) LICENSURE
Health Screening
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The screening shall be conducted in accordance with CDC guidelines for preventing the transmission of mycobacterium tuberculosis in health care settings. The documentation must indicate the date of the screening which may not be more than 1 year prior to the individual's start date.
Observations:
Based on review of personnel files (PF), and interview with the administrator, it was determined that personnel files did not include documentation that TB testing was conducted at time of hire or prior to assigning caregivers to provide services to consumers, for five (5) of five (5) personnel files reviewed. (PF1, PF2, PF3, PF4, and PF5)
Findings Include:
"Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019 - Historically, U.S. health care personnel were at increased risk for latent TB infection (LTBI) and TB disease from occupational exposures, but recent data suggest that this is no longer the case. CDC and the National Tuberculosis Controllers Association have updated the 2005 CDC recommendations for testing health care personnel. The update includes 1) TB risk assessment, symptom screening, and TB testing upon hire with a TB blood test (e.g., interferon-gamma release assay) or tuberculin skin test for those without documented prior TB or LTBI; 2) no annual TB testing for most health care personnel without a known exposure or ongoing transmission; 3) for health care personnel with LTBI treatment is strongly encouraged; 4) annual symptom screening for health care personnel with untreated LTBI; and 5) annual TB education for all health care personnel. These recommendations apply to health care personnel and volunteers in all health care settings. However, state and local TB screening and testing regulations may have different requirements."
Review of personnel files (PF) was conducted on 4/3/2025 from approximately 10:29AM until approximately 11:05AM revealed:
PF1 - (Date of Hire): 4/30/2024 - File contained a Chest X-ray dated 10/4/2022. File did not include a TB symptom screen and TB risk assessment.
PF2 - (Date of Hire): 9/2/2023 - File contained a TB skin test dated 9/8/2023. File did not include documentation of a second TB skin test on hire, nor a TB symptom screen and TB risk assessment. File did not contain annual TB education for 2024.
PF3 - (Date of Hire): 7/1/2023 - File contained a TB skin test dated 7/5/2023. File did not include documentation of a second TB skin test on hire, nor a TB symptom screen and TB risk assessment. File did not contain annual TB education for 2024.
PF4 - (Date of Hire): 11/12/2024 - File contained a QuantiFERON Gold blood test dated 9/17/2024. File did not include a TB symptom screen and TB risk assessment.
PF5 - (Date of Hire): 12/15/2024 - File contained a TB skin test dated 12/23/2024. File did not include documentation of a second TB skin test on hire, nor a TB symptom screen and TB risk assessment.
An interview with the administrator on 4/3/2025 at approximately 12:05PM confirmed the above findings.
Plan of Correction:Plan of correction is to request a 2-step PPD or Q-gold Tb test for the personnel files listed. Annually each employee will fill out a TB questioner Risk assessment will be given to each employee (template will be provided).
611.57(c) LICENSURE
Information to be Provided
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(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 review of consumer records and interview with the administrator, it was determined that the agency failed to ensure that consumer, consumer ' s legal representative or responsible family member, were provided a list of home care services to be provided to the consumer by the direct care worker, for five (5) of five (5) consumer records (CR) reviewed. (CR1, CR2, CR3, CR4, and CR5)
Findings Include:
Review of consumer records (CR) was conducted on 4/3/2025 from approximately 10:00AM until approximately 10:28AM, and approximately 11:38AM until approximately 11:50AM revealed:
CR1 - (Start of Care): 4/26/2024 - The consumer record did not contain a list of home care services to be provided to the consumer by the direct care worker.
CR2 - (Start of Care): 4/27/2024 - The consumer record did not contain a list of home care services to be provided to the consumer by the direct care worker.
CR3 - (Start of Care): 8/1/2024 - The consumer record did not contain a list of home care services to be provided to the consumer by the direct care worker.
CR4 - (Start of Care): 4/24/2024 - The consumer record did not contain a list of home care services to be provided to the consumer by the direct care worker.
CR5 - (Start of Care): 7/8/2024 - The consumer record did not contain a list of home care services to be provided to the consumer by the direct care worker.
An interview with the administrator on 4/3/2025 at approximately 12:05PM confirmed the above findings.
Plan of Correction:Plan of correction is to create a new consumer agreement with a list of services that will be provided and hours of service with a separate signature page for each consumer to sign upon starting with our agency.Our plan will include these revised agreements provided for CR1, CR2, CR3, CR4, and CR5 to include a list of services provided and the hours of those services, and signed revised agreements will be placed in their consumer file
Initial Comments:
Based on the findings of an onsite state re-licensure survey conducted on April 3, 2025, Benie Home Care, LLC, was found to be in compliance with the requirements of 35 P.S. 448.809(b).
Plan of Correction:
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