Initial Comments:
Based on the findings of an onsite unannounced state survey completed January 23, 2025, Coordinating Staffing, 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 survey completed January 23, 2025, Coordinating Staffing, LLC was found not to be in compliance with the following requirement 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:
611.56(a) LICENSURE
Health Screening
Name - Component - 00
The screening shall be conducted in accordance with CDC guidelines for preventing the transmission of mycobacterium tuberculosis in health care settings. The documentation must indicate the date of the screening which may not be more than 1 year prior to the individual's start date.
Observations:
Based on a review of CDC (Center for Disease Control and Prevention) guidelines, direct care worker personnel files (PF), and staff (EMP) interview, the agency failed to ensure each direct care worker was screened for mycobacterium tuberculosis (TB) in accordance with CDC guidelines prior to consumer contact for six (6) of six (6) personnel files (PF1-PF6).
Finding included:
According to "Tuberculosis Screening, Testing, and Treatment of U.S. Health Care
Personnel: Recommendations from the National Tuberculosis Controllers
Association and CDC, 2019," "Baseline (preplacement) screening and testing, in addition to the IGRA (interferon-gamma release assay) or TST [tuberculin skin testing], shall include a symptom screen questionnaire and an individual TB risk assessment." Retrieved from https://www.cdc.gov/mmwr/volumes/68/wr/pdfs/mm6819-H.pdf
Review of personnel files was conducted on January 23, 2025, at 9:30 a.m.
PF1 was hired on 7/6/2023 and providing services to consumers on 8/11/2023. PF1 contained no symptom screen and no individual TB risk assessment.
PF2 was hired on 2/28/2023 and providing services to consumers on 4/14/2023. PF2 contained no individual TB risk assessment.
PF3 was hired on 10/23/2024 and providing services to consumers on 10/29/2024. PF3 contained no symptom screen and no individual TB risk assessment.
PF4 was hired on 1/10/2024 and providing services to consumers on 1/12/2024. PF4 contained no symptom screen and no individual TB risk assessment.
PF5 was hired on 1/31/2024 and providing services to consumers on 3/15/2024. PF5 contained no symptom screen and no individual TB risk assessment.
PF6 was hired on 10/2/2024 and providing services to consumers on 10/11/2024. PF6 contained no symptom screen and no individual TB risk assessment.
Interview with EMP1 (aministrator) on January 23, 2025, at 11 a.m. confirmed findings.
Plan of Correction:Coordinating Staffing has implemented a Tuberculosis screening form, as well as a Tuberculosis symptom checklist form which have both been added to the new hire/onboarding document requirements which are completed upon hire.
The newly created forms will follow the current CDC guidelines as stated on the CDC webpages:
https://www.cdc.gov/tb-healthcare-settings/media/pdfs/Health_Care_Personnel_Baseline_Individual_TB_Risk_Assessment.pdf
https://www.cdc.gov/tb/signs-symptoms/index.html
The screening and symptom checklist will also be required to be completed annually for employees who are actively working with the agency in a direct care role.
The agency will monitor each employee file bi-weekly, for a period of 45 days, ending on 03/22/2025, to ensure that each employee hired, and those who require annual documentation updates, have completed the screening and checklist, and ensure forms are included in the employee file.
The agency will track the monitoring on a spreadsheet, which will detail the employee's name (first, last), date of hire, first consumer encounter date, date the file was reviewed, and the name of the agency member who completed the review. The spreadsheet will be kept on file for review when requested.
The director of the agency will be responsible for the file review and spreadsheet maintenance. In the event that an alternate agency member is given responsibility for the above-mentioned tasks, the director will provide training and document the agency member that will be responsible for completing the monitoring.
Initial Comments:
Based on the findings of an onsite unannounced state survey completed January 23, 2025, Coordinating Staffing, LLC was found to be in compliance with the requirement of 35 P.S. 448.809 (b).
Plan of Correction:
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