AGAPAO HOME CARE AGENCY, LLC
Health Inspection Results For:
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Initial Comments:
Based on the findings of an onsite unannounced state re-licensure survey conducted on March 31, 2025, Agapao Home Agency, 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 unannounced state re-licensure survey conducted on March 31, 2025, Agapao Home Care Agency 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:
611.56(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 personnel files (PF), Centers for Disease Control Guidelines, and an interview with the Owner, the agency failed to 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 and provide documentation of an initial Symptom Screening questionnaire and Tuberculosis Risk Assessment upon hire for seven (7) of seven (7) PF's, (PF#1, 2, 3, 4, 5, 6, and 7).
Findings include:
In May 2019, the CDC updated its recommendations for TB testing of health care personnel. The CDC guidelines state that all Health Care Workers (HCW) should: 1: receive baseline tuberculosis screening upon hire, using a two-step tuberculin skin test (TST) or a single blood assay for tuberculosis (TB) to test for infection with tuberculosis. 2. Completion of a tuberculosis symptom questionnaire. 3. Completion of a tuberculosis risk assessment. After baseline testing for infection with tuberculosis, HCWs should receive TB education annually. HCWs with a baseline positive test for tuberculosis infections should receive one chest radiograph result to exclude tuberculosis disease. CDC Guidelines for preventing the transmission of Mycobacterium tuberculosis in health care settings, 2005. Morbidity and Mortality World Report 2005;(5-16-19)
A review of PF was conducted on March 31, 2025 at approximately 11:15 am revealed the following:
PF#1 Date of Hire: 4/19/2020. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
PF#2 Date of Hire: 10/8/2024. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
PF#3 Date of Hire: 3/28/2022. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
PF#4 Date of Hire: 1/28/2025. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
PF#5 Date of Hire: 6/17/2024. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
PF#6 Date of Hire: 3/17/2025. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
PF#7 Date of Hire: 7/3/2022. PF did not contain documentation that a symptom screening/risk assessment was completed upon hire.
An interview with the Owner conducted on March 31, 2025 at approximately 12:30 pm confirmed the above findings.
Plan of Correction:Administrator from Agapao Home Care Agency has implemented a new document called Basline Individual TB Risk Assessment containing three questions :
1. Temporary or permanent residence of 1 month in a country with a high TB rate.
2. Current or planned immunosuppression? Inclusing Human Immunodeficiency Virus infection, Organ transplant recipient, treatment with a Tnf- alpha antagonist, Chronic Steroids or other immunosuppressive medication.
3.Close contact with someone who has had infectious TB disease since the last TB test?
Part of section two to the new document is called Symptom Screening Questionaire:
1. Cough and/or hoarseness lasting more than 3 weeks?
2. A productive cough or coughed up blood?
3.Low grade fever?
4. Night sweats for more than a week?
5.Recent or unexplained weight loss?
6.Shortness of breath?
7. Chest pain?
8. Unusual tiredness or fatigue?
This new document will be utilize upon new hire.As for PF # 1,2,3,4,5,6,7 files will be updated with it too.
611.56(b) LICENSURE
Health Screening
Name - Component - 00
(b) A home care agency or home care registry shall require each direct care worker, and other office staff or contractors with direct consumer contact, to update the documentation required under subsection (a) at least every 12 months and provide the documentation to the agency or registry. The 12 months must run from the date of the last evaluation. The documentation required under subsection (a) shall be included in the individual's file.
Observations:
Based on review of personnel files (PFs), the Centers for Disease Control guidelines, and interview with the Owner, the agency failed to ensure each direct care worker were provided with annual mycobacterium tuberculosis symptom screening for three (3) of seven (7) PF's reviewed, (PF#1, 3 and 7).
Findings include:
In May 2019, the CDC updated its recommendations for TB testing of health care personnel. The CDC guidelines state that all Health Care Workers (HCW) should: 1: receive baseline tuberculosis screening upon hire by using: a two-step tuberculin skin test (TST), a single blood assay for tuberculosis (TB), or a negative chest x-ray to test for infection with tuberculosis. 2. Completion of a tuberculosis symptom questionnaire. And 3. Completion of a tuberculosis risk assessment. After baseline testing for infection with tuberculosis, HCWs should receive TB education annually. HCWs with a baseline positive test for tuberculosis infections should receive one chest radiograph result to exclude tuberculosis disease. CDC Guidelines for preventing the transmission of Mycobacterium tuberculosis in health care settings, 2005. Morbidity and Mortality World Report 2005;(5-16-19)
A review of PF was conducted on March 31, 2025 at approximately 11:15 am revealed the following:
PF#1 Date of Hire: 4/19/2020. PF did not contain documentation that annual tuberculosis education was performed for 2021, 2022, 2023 and 2024.
PF#3 Date of Hire: 3/28/2022. PF did not contain documentation that annual tuberculosis education was performed for 2023 and 2024.
PF#7 Date of Hire: 7/3/2022. PF did not contain documentation that annual tuberculosis education was performed for 2023 and 2024.
An interview with the Owner conducted on March 31, 2025 at approximately 12:30 pm confirmed the above findings.
Plan of Correction:Administrator from Agapao Home Care, has taking action to have educational document on preventing, the transmission of Myobacterium TB in health care settings to be read, signed, and dated. Upon obtaining Signature document will then be placed in their files for PF #1, PF#3, and PF#7 from this point onwards.
Initial Comments:
Based on the findings of an onsite unannounced state relicensure survey, Agapao Home Care Agency, LLC on March 31, 2025, was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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