QA Investigation Results

Pennsylvania Department of Health
D & S HEALTHCARE, LLC
Health Inspection Results
D & S HEALTHCARE, LLC
Health Inspection Results For:


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Initial Comments:

An onsite follow-up survey conducted on December 14, 2022 found that D & S Healthcare, LLC had not corrected all deficiencies cited under the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 611, Subpart H. Home Care Agencies and Home Care Registries. The deficiencies were cited as a result of a re-licensure survey completed on October 11, 2022. One deficiency remains uncorrected.





Plan of Correction:




611.57(c) LICENSURE
Information to be Provided

Name - Component - 00
(c) Prior to the commencement of services, the home care agency or home care registry shall provide to the consumer, the consumer's legal representative or responsible family member an information packet containing the following information in a form that is easily read and understood: (1) A listing of the available home care services that will be provided to the consumer by the direct care worker and the identity of the direct care worker who will provide the services. (2) The hours when those services will be provided. (3) Fees and total costs for those services on an hourly or weekly basis. (4) Who to contact at the Department for information about licensure requirements for a home care agency or home care registry and for compliance information about a particular home care agency or home care registry. (5) The Department's complaint Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA). (6) The hiring and competency requirements applicable to direct care workers employed by the home care agency or referred by the home care registry. (7) A disclosure, in a format to be published by the Department in the Pennsylvania Bulletin by February 10, 2010, addressing the employee or independent contractor status of the direct care worker providing services to the consumer, and the resultant respective tax and insurance obligations and other responsibilities of the consumer and the home care agency or home care registry.

Observations:

Based on a review of consumer files (CF) and an interview with the administrator, the agency failed to provide the consumer, consumer's legal representative, or a responsible family member information pertaining to the identity of the DCW who would be providing the services, the department's hotline telephone number, and the hiring and competency requirements applicable to direct care workers employed by the agency. Three (3) of three (3) consumer files did not meet the requirement: CF#1, CF#2, and CF#3.

Findings include:

The home care agency's plan of correction from the re-licensure survey conducted on 10/11/2022 was reviewed on December 14, 2022 at approximately 3:30 PM. The provider's plan of correction states, "the consumer will receive a document with the DCW (direct care worker) and telephone numbers and who to contact. Each consumer will receive documents from the administrator and every client (there)after will receive the documents. The plan of correction contains a completion date of 11/18/2022.

A review of the consumer information booklet was conducted on December 14, 2022 starting at approximately 10:30 AM. The telephone number contained in the consumer information booklet for the department of health hotline is an incorrect phone number. The plan of correction completion date of 11/18/2022 for this deficiency was not met.

A review of consumer files (CF) was conducted on December 14, 2022 starting at approximately 10:15 AM. The Start of Care (SOC) is indicated below.

CF#1 SOC 07/04/2022 did not contain evidence that the consumer, consumer's legal representative, or a responsible family member subsequently received information regarding the identity of the direct care worker who would be providing the services, and the hiring and competency requirements applicable to direct care workers employed by the agency. The department's hotline telephone number contained in the consumer file remains an incorrect telephone number. The plan of correction completion date of 11/18/2022 for CF#1 was not met.

CF#2 SOC 08/05/2021 did not contain evidence that the consumer, consumer's legal representative, or a responsible family member received information regarding the identity of the direct care worker who would be providing the services, and the hiring and competency requirements applicable to direct care workers employed by the agency. The department's hotline telephone number contained in the consumer file is an incorrect telephone number.

CF#3 SOC 05/24/2021 did not contain evidence that the consumer, consumer's legal representative, or a responsible family member subsequently received information regarding the identity of the direct care worker who would be providing the services, and the hiring and competency requirements applicable to direct care workers employed by the agency. The department's hotline telephone number contained in the consumer file remains an incorrect telephone number. The plan of correction completion date of 11/18/2022 for CF#3 was not met.

This is a repeat deficiency from the October 12, 2022 re-licensure survey.

An interview conducted with the administrator and office manager on December 14, 2022 starting at 11:20 AM confirmed the above findings.








Plan of Correction:

the document of the Consumer and Direct care work is done and will distribute among consumers. the correct numbers and personnel files to each consumer. the hotline is corrected and placed in each binder and other surfaces containing the numbers to be regulated. All files from here on out will contain these changes with the DCW and consumer files intact, and will not occur again. the office manager will see to this problem does not occur again.