QA Investigation Results

Pennsylvania Department of Health
BENEVOLENT HOME HEALTH CARE, LLC
Health Inspection Results
BENEVOLENT HOME HEALTH 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 onsite unannounced state relicensure survey completed January 17, 2020, Benevolent Home Health 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 17, 2020, Benevolent Home Health 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(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 review of employee files, and interview with the Administrator, it was determined that the agency failed to obtain two verifiable references that affirms the ability of a Direct Care Worker, (DCW) to provide home care services for four, (4), of four, (4), employee files reviewed. (DCW # 1, 2, 3, and 4).

Findings include:

1. Review of personnel files on January 17, 2020 at approximately 11:00 a.m. revealed that DCW #1 was hired on December 7, 2019. There was no documented evidence that two verifiable references were obtained by the facility.

2. Review of personnel files on January 17, 2020 at approximately 11:15 a.m. revealed that DCW #2 was hired on January 4, 2020. There was no documented evidence that two verifiable references were obtained by the facility.

3. Review of personnel files on January 17, 2020 at approximately 11:30 a.m. revealed that DCW #3 was hired on December 6, 2019. There was no documented evidence that two verifiable references were obtained by the facility.

4. Review of personnel files on January 17, 2020 at approximately 11:45 a.m. revealed that DCW #4 was hired on December 14, 2019. A satisfactory reference was obtained on December 14, 2019. There was no documented evidence that a second reference check had been conducted by the facility.

An interview with the Administrator on January 17, 2020 at approximately 1:30 p.m., it was confirmed that the agency failed to obtain two verifiable references for each DCW employed by the agency.







Plan of Correction:

The Administrator was re- educated by the Governing Body on the requirement that employee personnel files shall include all required information including, but not limited to, a face to face interview and 2 reference checks confirming the Direct Care Workers ability to perform the job title. The Administrator will re- educate all staff on the requirement. All staff verbalized understanding and adherence.
Personnel file #1: 2 references were obtained, checks were completed and documentation has been added to the personnel file.
Personnel file #2: 2 references were obtained, checks were completed and documentation has been added to the personnel file.
Personnel file #3: 2 references were obtained, checks were completed and documentation has been added to the personnel file.
Personnel file #4: 1 additional reference was obtained, checked and documentation has been added to the personnel file.
The Administrator or designee will ensure ongoing compliance by auditing 100% of employment applications prior to hire to ensure that each applicant has provided two references, the references have been checked and documentation of this is present in the personnel file prior to the proffer of the job offer. The Administrator will review all personnel files on hire and monthly for this requirement until 100% compliance is met. Then, all personnel files will be reviewed annually.

Completion date: 2/14/2020



611.57(b) LICENSURE
Prohibitions

Name - Component - 00
(b) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry. The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry.

Observations:


Based upon review of the agency admission packet, employee handbook/policies, Consumer files, and interview with the Administrator, it was determined that the agency failed to provide information to the Consumer and/or the Direct Care Worker that it is prohibited from assuming power of attorney, or requiring a consumer to endorse checks over to the agency while utilizing services for four (4), of four (4), Consumer Files (CF), reviewed. (CF #1, 2, 3, and 4).

Findings include:

On December 9, 2019, at approximately 12:00 p.m., a review of the agency admission packet entitled, "Beloved Home Care and Daycare Services," revealed no written prohibitions to prevent or warn the Consumer or individuals associated with the agency from assuming power of attorney, or requiring a consumer to endorse checks over to the agency.

On December 9, 2019, at approximately 12:10 p.m., a review of the agency "Employee Handbook" revealed, no prohibitions that addressed or prevented individuals from assuming power of attorney, or requiring a consumer to endorse checks over to the agency while associated with the agency.

1. A review of CF #1 on January 17, 2020, at approximately 12:15 p.m., revealed a start of service on December 17, 2019. There was no written information provided to the Consumer that the agency is prohibited from assuming power of attorney, or requiring a consumer to endorse checks over to the agency while utilizing agency services.

2. A review of CF #2 on January 17, 2020, at approximately 12:20 p.m., revealed a start of service on January 4, 2020. There was no written information provided to the Consumer that the agency is prohibited from assuming power of attorney, or requiring a consumer to endorse checks over to the agency while utilizing agency services.

3. A review of CF #3 on January 17, 2020, at approximately .12:25 p.m., revealed a start of service on December 9, 2019. There was no written information provided to the Consumer that the agency is prohibited from assuming power of attorney, or requiring a consumer to endorse checks over to the agency while utilizing agency services.

4. A review of CF #4 on January 17, 2020, at approximately 12:30 p.m., revealed a start of service on December 17, 2019. There was no written information provided to the Consumer that the agency is prohibited from assuming power of attorney, or requiring a consumer to endorse checks over to the agency while utilizing agency services.

Interview with the Administrator on January 17, 2020, at approximately 1:30 p.m., confirmed that there was no documentation in the admission packet, employee handbook/policies, or consumer records that identified the above prohibitions.








Plan of Correction:

The Administrator has been educated of the requirement 611.57. Consumer protections. Consumer rights (2) (b) Prohibitions. The Administrator has updated the Consumer Bill of Rights and the copy of the Consumer Bill of Rights that is provided to the consumer within the admission packet to include: that at start of services the patient is notified 1) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry, and 2) The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry. Any blank older versions have been replaced. The Administrator has held a staff meeting to educate staff on the new version of the Consumer Bill of Rights. Each staff member was provided a copy. Staff verbalize understanding of the revisions made. The Administrator has audited 100% of active patient charts. All patient records have been updated with the new version of patient rights with patient signatures and have been placed in the patient record

CF#1: The consumer has been provided the new version of the Consumer Bill of Rights to include the notice that 1) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry, and 2) The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry.

CF#2: The consumer has been provided the new version of the Consumer Bill of Rights to include the notice that 1) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry, and 2) The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry.

CF#3: The consumer has been provided the new version of the Consumer Bill of Rights to include the notice that 1) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry, and 2) The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry.

CF#4: The consumer has been provided the new version of the Consumer Bill of Rights to include the notice that 1) No individual as a result of the individual's affiliation with a home care agency or home care registry may assume power of attorney or guardianship over a consumer utilizing the services of that home care agency or home care registry, and 2) The home care agency or home care registry may not require a consumer to endorse checks over to the home care agency or home care registry.


The Administrator or designee will audit 100% of all new consumer charts to verify the patient is made aware of all consumer rights including that; the agency may not assume power of attorney or guardianship over the consumer or endorse checks over to agency. 100% audit will continue until 100% compliance is achieved. Then a 10% audit for three months, then quarterly, ongoing, for 6 months.

Completion date: 2/14/2020




Initial Comments:


Based on the findings of an onsite unannounced state relicensure survey completed January 17, 2020, Benevolent Home Health Care LLC, was found to be in compliance with the requirements of 35 P.S. 448.809 (b).




Plan of Correction: