Initial Comments:
Based upon an unannounced off-site complaint investigation survey conducted between 12/23/2020-1/11/2021 Rosasteam, 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 upon an unannounced off-site complaint investigation survey conducted between 12/23/2020-1/11/2021 Rosasteam, was found to be not 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 upon review of agency policy, consumer files (CF), and interview with owner ( EMP # 1), agency failed to show evidence consumer/POA were involved in the service planning process for one (1) of one (1) file reviewed ( CF # 1); failed to show evidence consumer received ten (10) calendar days advance written notice of discharge for one (1) of one (1) file reviewed. ( CF # 1).
Findings included:
Review of discharge policy on 1/11/2021 between approximately 9:00 AM-9:30 AM titled " Discharge/Reduction in services" stated " " Agency will verbally and in writing, notify the Consumer of the decision to terminate/reduce services at least 10 calendar days prior to the change in service is to occur"
Review of CF on 1/11/2021 between approximately 9:00 AM-11:00 AM revealed:
CF # 1, Start of Service (SOS) 7/23/2020; (complaintant's father's file)- private pay.
Consumer " plan of service" with request for twenty four (24) hours of care/ day for dates between 7/24/2020-7/27/2020- services were provided at consumer's home. Plan of service was signed and dated by agency owner. Signature line for Consumer or wife was blank.
Consumer " plan of service" with request for twenty four (24) hours of care/ day for dates between 8/24/2020-8/30/2020- services were provided at consumer's home. Plan of service was signed and dated by agency owner. Signature line for Consumer or wife was blank.
Consumer " plan of service" with request for twenty four (24) hours of care/ day for dates between 9/3/2020-9/30/2020- services were provided at agency owner's group home. This program is not covered under Chapter 611 regulations.
Consumer " plan of service" with request for 10 AM-1PM and 8 PM-6 AM of care/ day for dates between 10/5/2020-10/11/2020- services were provided at consumer's home. Plan of service was signed and dated by agency owner. Signature line for Consumer or wife was blank.
Consumer " plan of service" with request for 10 AM-1PM and 8 PM-6 AM or 9 PM-6 AM of care/ day for dates between 11/1/2020; 11/8/2020-11/9/2020 and 11/15/2020-11/30/2020 services were provided at consumer's home. Plan of service was signed and dated by agency owner. Signature line for Consumer or wife was blank.
In addition, form titled " Consumer financial authorization" section stated " either side may terminate this agreement with termination notice of ___ days" this section was left blank.
Interview with EMP # 1 on 1/11/2021 at approximately 2:00 PM confirmed above findings.
Plan of Correction:Plan of Correction:
Upon meeting with the consumer/POA, for the 1st time, I (EMP#1) will make it known to the consumer/POA all the services we offer, discuss with the consumer/POA the service planning process, and work the care plan needs with the consumer/POA. Together, I will make sure the consumer/POA plans to share all the individual preferences of the consumer, special accommodations necessary will have to be known in this meeting.
All paperwork will be left to the consumer to fill up and review and a second meeting will be scheduled between 3-5 days. In the second meeting, all the requests by the consumer must be in writing; (dates for the care needed) and the care plan/medical history, list of emergency contacts, doctors, and all information about the consumer will be all given to owner (EMP#1).
Before an actual start of date will be given. Both consumer/POA and I (owner) will check all papers, check all pages to be signed by consumer/POA and signed by agency owner (myself). Both parties will go thru page by page of this care plan.
Then when this is all completed, I (owner) put a start date for the care.
Consumer/POA will receive 1 set of copy of the consumer care plan and the agency owner will receive 1 set of copy as well.
I made an error in where the services were provided for the dates 7/24 to 7/27 2020. This service was provided in my personal care home.
I made an error in where the services were provided for the dates 8/24 to 8/20 2020. This service was provided in my personal care home.
Plan of correction:
Whenever the consumer/POA decides or requests a change or changes in the scheduled service, NO changes will be made until a written notice is given to the consumer/POA as to the requested change. And a 10-day written notice will be submitted for reduction of service or a termination of service; except where the health and safety of the direct care worker is at risk.
A less than 10-days of advance written notice may be given in the event the consumer has failed to pay for services, despite the 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.
"Consumer financial authorization" either side may terminate this agreement with termination notice of 10 days.
Every page of our consumer care plan must be checked and double checked to make sure all blanks are answered, and all signatures are signed before putting a start date to the consumer care.
This plan of correction will be implemented immediately; upon findings.
Initial Comments:
Based upon an unannounced off-site complaint investigation survey conducted between 12/23/2020-1/11/2021 Rosasteam, was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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