QA Investigation Results

Pennsylvania Department of Health
DEB'S CARE, LLC
Health Inspection Results
DEB'S 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 unannounced state relicensure survey completed January 10, 2020, Deb's Care LLC, was found to be in compliance with the requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart A, Chapter 51.







Plan of Correction:




Initial Comments:


Based on the findings of an onsite unannounced state relicensure survey completed January 10, 2020, Deb's Care LLC was found NOT to be in compliance with the following requirements of PA Code, 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(a) LICENSURE
Hiring or Rostering Prerequisites

Name - Component - 00
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 employee files, and interview with the Administrator, it was determined that the agency failed to conduct a face-to-face interview with the individual, and to obtain two verifiable references that affirms the ability of a Direct Care Worker, (DCW) to provide home care services for five (5) of five (5) employee files reviewed. (DCW # 1, 2, 3, 4, and 5).

Findings include:

1. Review of personnel files on January 10, 2020, at approximately 11:00 a.m. revealed that DCW #1 was hired on March 3, 2017. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained by the facility.

2. Review of personnel files on January 10, 2020, at approximately 11:15 a.m. revealed that DCW #2 was hired on March 12, 2019. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained by the facility.

3. Review of personnel files on January 10, 2020, at approximately 11:30 a.m. revealed that DCW #3 was hired on April 1, 2019. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained by the facility.

4. Review of personnel files on January 10, 2020, at approximately 11:45 a.m. revealed that DCW #4 was hired on February 25, 2019. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained by the facility.

5. Review of personnel files on January 10, 2020, at approximately 12:00 p.m. revealed that DCW #5 was hired on July 1, 2019. There was no documented evidence that a face-to-face interview had been conducted, or that two verifiable references were obtained by the facility.

An interview with the Administrator on January 10, 2020 at approximately 1:25 p.m., confirmed that the agency failed to conduct a face-to-face interview, and to obtain two verifiable references for each employee reviewed.







Plan of Correction:

All interviews will be conducted face to face and all references will be contacted and responses noted by Office manager. All records will be updated on a quarterly basis by office manager.


Initial Comments:

Based on the findings of an on-site unannounced state relicensure survey completed January 10, 2020, Deb's Care LLC, was found NOT to be in compliance with the following requirement of 35 P.S. 448.809 (b).






Plan of Correction:




35 P. S. 448.809b LICENSURE
Photo Id Reg

Name - Component - 00
(1) The photo identification tag shall include a recent photograph of the employee, the employee's FIRST name, the employee's title and the name of the health care facility or employment agency.

(2) The title of the employee shall be as large as possible in block type and shall occupy a one-half inch tall strip as close as practicable to the bottom edge of the badge.

(3) Titles shall be as follows:
(i) A Medical Doctor shall have the title " Physician. "
(ii) A Doctor of Osteopathy shall have the title " Physician. "
(iii) A Registered Nurse shall have the title " Registered Nurse. "
(iv) A Licensed Practical Nurse shall have the title " Licensed Practical Nurse. "
(v) Abbreviated titles may be used when the title indicates licensure or certification by a Commonwealth agency.

(4)A notation, marker or indicator included on an identification badge that differentiates employees with the same first name is considered acceptable in lieu of displaying an employee's last name.



Observations:


Based on observation and interview with the Agency Administrator, it was determined that the Agency failed to ensure a photo identification tag that would include the employee's full name, title, picture and the name of the agency for office employees.

Findings include:

During observation on January 10, 2020, at approximately 11:00 a.m., the Adminstrator was not observed to wear a photo identification tag.

In an interview with the agency Administrator on January 10, 2020 at approximately 1:25 p.m., it was confirmed that the agency did not have photo identification badges.





Plan of Correction:

All ID badges have been issued to employees. On an ongoing basis field supervisors while on home visits every 3 months will insure ID badged are being worn.