Initial Comments:
Based on the findings of an announced onsite state re-licensure survey completed October 10, 2024, Angels on Call was found to be in compliance with the requirements of 28 PA Code, Part IV, Health Facilities, Chapter 51, Subpart A.
Plan of Correction:
Initial Comments:
Based on the findings of an announced onsite state re-licensure survey completed October 10, 2024, Angels on Call was found 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:
Initial Comments:
Based on the findings of an announced onsite state re-licensure survey completed October 10, 2024, Angels on Call was found not to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
35 P. S. § 448.809b LICENSURE
Photo Id Reg
Name - Component - 00
Law amended July 11, 2022 Act 79 2022 HB 2604
(1) The photo identification tag shall include a recent
photograph of the employee, the employee's first name, the
employee's title and the name of [the health care facility or
employment agency.] any of the following:
(i) The health care facility.
(ii) The health system.
(iii) The employment agency.
(iv) The fictitious name of an entity under
subparagraph (i), (ii) or (iii) which is registered with
the Department of State under 54 Pa.C.S. Ch. 3 (relating
to fictitious names) or a successor statute.
(2) The title of the employee shall be as large as possible
in block type and shall occupy a one-half inch tall strip as
close as practicable to the bottom edge of the badge.
(3) Titles shall be as follows:
(i) A Medical Doctor shall have the title "Physician."
(ii) A Doctor of Osteopathy shall have the title
"Physician."
(iii) A Registered Nurse shall have the title
"Registered Nurse."
(iv) A Licensed Practical Nurse shall have the title
"Licensed Practical Nurse."
(v) All other titles shall be determined by the
department. Abbreviated titles may be used when the title
indicates licensure or certification by a Commonwealth
agency.
(4)A notation, marker or indicator included on an identification badge that differentiates employees with the same first name is considered acceptable in lieu of displaying an employee's last name.
Observations:
Based on observation of Identification badges (ID) and an interview with the agency Administrator, agency failed to format/issue ID badges per regulatory requirements for one (1) of one (1) observation (Observation #1).
Findings include:
Observation #1: Observation of employee Identification Badge (ID) on October 10, 2024 at approximately 2:30 p.m. revealed the current ID badge employee title does not occupy the bottom 1/2" of the badge, as large as possible. The employee title is listed as "Caregiver" and not positioned in the bottom 1/2" of the ID badge.
The actual title for the employee is 'Direct Care Worker'.
An interview conducted with agency Administrator on October 10, 2024 at approximately 3:30 p.m. confirmed the above findings.
Plan of Correction:Agency ID Badge Template has been updated to the correct formatting per guidelines.
Office Manager is responsible for ensuring the correct template is being used for all future ID Badges.
Monitoring of Plan of Correction will be completed by the Director of Quality & Compliance by requesting to view completed badges periodically during an internal review.
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