QA Investigation Results

Pennsylvania Department of Health
COMFORT KEEPERS #488
Health Inspection Results
COMFORT KEEPERS #488
Health Inspection Results For:


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Initial Comments:

Based on the findings of an on-site state licensure survey conducted on March 9, 2020 and March 16, 2020, Comfort Keepers 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 March 9, 2020 and March 16, 2020, Comfort Keepers 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(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 a review of direct care worker file and interview with the scheduling coordinator, the agency failed to obtain and document two satisfactory references for the direct care workers for five (5) of ten (10) direct care workers. Direct care workers # 1, 3, 7, 8 and 10.
Findings include:
Review of direct care workers files on March 6, 2020 from 1430 to 1530 and March 16, 2020 from 1200 to 1300 revealed:

Review of direct care worker file # 1 with a date of hire October 24, 2019, no documentation of two satisfactory references for the direct care worker. One reference was documented.

Review of direct care worker file # 3 with a date of hire January 21, 2020, no documentation of two satisfactory references for the direct care worker. One reference was documented.

Review of direct care worker file # 7 with a date of hire January 23, 2020, no documentation of two satisfactory references for the direct care worker.

Review of direct care worker file # 8 with a date of hire August 22, 2019, no documentation of two satisfactory references for the direct care worker. One reference was documented.

Review of direct care worker file # 10 with a date of hire February 26, 2020, no documentation of two satisfactory references for the direct care worker. One reference was documented.

Interview with the scheduling coordinator on March 6, 2020 at 1530 confirmed that the direct care workers files lacked documentation of the two references.








Plan of Correction:

Audit was completed 3.9.20, on 3.11.20 the subject references were discussed regarding the 1,3,7,8, and 10...were submitted. The deficiency was the 2 positive reference checks and interview forms. This is completed between reviewing the application and completing the interview. The staffing coordinator obtains at least two positive references for the applicant looking to become part of Comfort Keepers. This is kept with the application on file and in Clear Care online system. Application, References, and Interview forms is the on-boarding process and the responsibility of these are the Staffing Coordinators.


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 the review of direct care worker files and interview with the scheduling coordinator, the agency failed to ensure that direct care workers had been screened for mycobacterium tuberculosis in accordance with the CDC guidelines prior to direct consumer contact for four (4) of ten (10) direct care workers. Direct care workers # 2, 5, 6 and 7.
Findings include:
Review of direct care workers files on March 6, 2020 from 1430 to 1530 revealed:
Review of direct care worker file # 2 with a date of hire April 11, 2019, no required documentation that TST testing had been conducted on hire and prior to care delivery.
Review of direct care worker file # 5 with a date of hire January 2, 2020, no required documentation that TST testing had been conducted on hire and prior to care delivery.
Review of direct care worker file # 6 with a date of hire February 24, 2020, no required documentation that TST testing had been conducted on hire and prior to care delivery.
Review of direct care worker file # 7 with a date of hire January 23, 2020, no required documentation that TST testing had been conducted on hire and prior to care delivery.
Interview with the scheduling coordinator on March 6, 2020 at 1530 confirmed that the direct care workers files lacked documentation that TST testing had been conducted on hire and prior to care delivery.







Plan of Correction:

Upon on boarding with Comfort Keepers for the orientation the 2 Step PPD process will have been started at the time of orientation. Within 7 days from the orientation the 2 step PPD must be completed and on file. Comfort Keepers will supply site for 2 step PPD and Physical to be completed. The monitoring system will be through ClearCare tasks for each caregiver. The Staffing Coordinator, will be monitoring these caregivers and tasks. Also, the responsible party for monitoring will be the Senior Staffing Coordinator.


Initial Comments:

Based on the findings of an on-site state licensure survey conducted on March 9, 2020 and March 16, 2020, Comfort Keepers was found to be in compliance with the requirements of 35 P.S. 448.809(b).





Plan of Correction: