QA Investigation Results

Pennsylvania Department of Health
A&E HOME CARE, LLC
Health Inspection Results
A&E HOME CARE, LLC
Health Inspection Results For:

This is the only survey for this facility

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.



Initial Comments:

Based on the findings of an on-site state licensure survey conducted on November 20, 2018, A & E 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 state licensure survey conducted on November 20, 2018, A &E 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:




611.51(b) LICENSURE
Direct Care Worker Files

Name - Component - 00
Files for direct care workers employed or rostered shall include documentation of the date of the face-to-face interview with the individual and of references obtained. Direct Care Worker files also shall include other information as required by 611.52, 611.53, if applicable, 611.54, 611.55 and 611.56 (relating to criminal background checks, child abuse clearance, provisional hiring, competency requirements; and health evaluations).

Observations:

Based on a review of direct care worker file and interview with the administrator, the agency failed to document the face-to-face interview with the direct care workers for six (6) of six (6) direct care workers. Direct care workers # 1, 2, 3, 4, 5 and 6.
Findings include:
Review of direct care workers files on November 20, 2018 from 1430 to 1530 revealed:
Review of direct care worker file # 1 with a date of hired of October 17, 2017, no documentation the face-to-face interview with the direct care worker.

Review of direct care worker file # 2 with a date of hired of October 19, 2018, no documentation the face-to-face interview with the direct care worker.

Review of direct care worker file # 3 with a date of hired of September 6, 2017, no documentation the face-to-face interview with the direct care worker.

Review of direct care worker file # 4 with a date of hired of February 17, 2017, no documentation the face-to-face interview with the direct care worker.

Review of direct care worker file # 5 with a date of hired of June 19, 2017, no documentation the face-to-face interview with the direct care worker.

Review of direct care worker file # 6 with a date of hired of December 2, 2017, no documentation the face-to-face interview with the direct care worker.

Interview with the administrator on November 20, 2018 at 1530 confirmed that the direct care workers files lacked documentation of the face-to face interview prior to being hired.









Plan of Correction:

Effective 12/1/2019 we will implement an interview form which will include the date of face to face interview, interview questions and applicant responses.


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 on a review of CDC [Centers for Disease Control] guidelines, direct care worker files and interview with the administrator, the agency failed to ensure four (4) of six (6) direct care workers files had been screened for mycobacterium tuberculosis in accordance with the CDC guidelines prior to direct consumer contact. Personnel files # 1, 4, 5 and 6.


Findings include:

According to the "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005," "...Baseline testing for M. Tuberculosis infection is recommended for all newly hired HCWs [health care workers]...If TST [tuberculin skin testing] is used for baseline testing, two-step testing is recommended for HCWs whose initial TST results are negative...If the first-step TST result is negative, the second-step TST should be administered 1--3 weeks after the first TST result was read...A second TST is not needed if the HCW has a documented TST result from any time during the previous 12 months. If a newly employed HCW has had a documented negative TST result within the previous 12 months, a single TST can be administered in the new setting...This additional TST represents the second stage of the two-step testing... "

Findings include:
Review of direct care workers files on November 20, 2018 from 2:30 PM to 3:30 PM revealed:

Review of direct care worker file # 1 with a date of hired of October 17, 2017 did not have the required documentation that two-step PPD testing had been conducted.

Review of direct care worker file # 4 with a date of hired of February 17, 2017 did not have the required documentation that two-step PPD testing had been conducted.

Review of direct care worker file # 5 with a date of hired of June 19, 2017 did not have the required documentation that two-step PPD testing had been conducted.

Review of direct care worker file # 6 with a date of hired of December 2, 2017 did not have the required documentation that two-step PPD testing had been conducted.

Interview with the administrator on November 20, 2018 at 1530 confirmed that the required documentation that a two-step PPD testing had been conducted was not contained in the above direct care workers files.








Plan of Correction:

Beginning 12/1/2018 A&E will perform two step PPD tests as indicated:
...TST [tuberculin skin testing] is used for baseline testing, two-step testing is recommended for HCWs whose initial TST results are negative...If the first-step TST result is negative, the second-step TST should be administered 1--3 weeks after the first TST result was read...A second TST is not needed if the HCW has a documented TST result from any time during the previous 12 months. If a newly employed HCW has had a documented negative TST result within the previous 12 months, a single TST will be administered in the new setting...This additional TST represents the second stage of the two-step testing... "
results will be documented and saved in employee files












Initial Comments:

Based on the findings of an on-site state licensure survey was conducted on November 20, 2018, A & E Home Care was found to be in compliance with the requirements of 35 P.S. 448.809(b)





Plan of Correction: