Initial Comments:
Based on the findings of an onsite state re-licensure survey conducted on April 30, 2025, County Caregivers, LLC was found to be in compliance with the requirements of 28 Pa. Code, Part IV, Health Facilities, Subpart A. Chapter 51.
Plan of Correction:
Initial Comments:
Based on the findings of an onsite state re-licensure survey conducted on April 30, 2025, County Caregivers, LLC was found not to be in compliance with the following requirements of Title 28 Health and Safety Part IV, Health Facilities, Subpart H. Chapter 611 Home Care Agencies.
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 review of agency documentation and agency (consumer) and personnel files and based on interview with the Administrator (Employee #8), the agency failed to ensure hiring procedures were completed prior to the assignment of four (4) of four (4) direct care workers (DCW) whose first date of assignment was after June 14, 2022. (Employees #2, #3, #4 and #5)
Findings Include:
On April 30, 2025 at approximately 1:38 PM, review of agency document titled "Checklist" revealed the following are to be completed during the hiring process:
-References; and
-Interview questions.
Consumer #2: On April 30, 2025 at approximately 10:42 AM, review of HHAeXchange and agency file documentation revealed the DCW (Employee #2) provided home care services in March and April 2025.
Consumer #3: On April 30, 2025 at approximately 11:00 AM, review of HHAeXchange and agency file documentation revealed the DCW (Employee #3) provided home care services in March and April 2025.
Consumer #4: On April 30, 2025 at approximately 11:17 AM, review of HHAeXchange and agency file documentation revealed the DCW (Employee #4) provided home care services in March and April 2025.
Consumer #5: On April 30, 2025 at approximately 11:35 AM, review of HHAeXchange and agency file documentation revealed the DCW (Employee #5) provided home care services in March and April 2025.
Review personnel files on April 29, 2025 at approximately 12:16 PM revealed the following:
Employee #2: The DCW's first date of assignment was 02/17/2025. The reference checks were performed on 03/04 and 03/05/2025 which was after the first date of assignment. There was no documentation which provided evidence a pre-employment interview was conducted.
Employee #3: The DCW's first date of assignment was 09/22/2022. There was no documentation which provided evidence a pre-employment interview was conducted nor was documentation present which provided evidence two (2) satisfactory references were obtained.
Employee #4: The DCW's first date of assignment was 11/05/2023. The pre-employment interview date was not entered on the interview form; therefore, there was no documentation which provided evidence the interview was conducted prior to the first date of assignment.
Employee #5: The DCW's first date of assignment (contact date) was 07/11/2023. The date the reference checks were performed were not entered on the reference form; therefore, there was no documentation which provided evidence the two (2) satisfactory reference checks were obtain prior to the first date of assignment.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed there was no documentation in the personnel file which provided evidence that a pre-employment interview had been conducted and/or that two (2) satisfactory references had been obtained for the above identified DCW's prior to the assignment to provide home care services.
Plan of Correction:An audit will be conducted by owner,employee 8 and managers, employees 6 and 7 of all current employees and any deficiencies will be corrected. Moving forward all new hires must have checklist signed off by two managers prior to any new caregiver starting in client's home. No employee will be offered employment without having a pre-employment interview and two (2) refernence checks completed. On a quarterly basis, a random survey will be conducted by manager, employee 8, to ask clients about the quality of care provided. POC will be completed by 06/14/2025. A meeting will be conducted on 06/03/2025 by owner, employee 8, to address and correct the deficient findings for failure to conduct a pre-employment interview and obtain two (2) satisfactory references. This POC will be monitored by manager, employee 7.
611.52(d) LICENSURE
Proof of Residency
Name - Component - 00
The home care agency or home care registry may request an individual required to submit or obtain a criminal history record to furnish proof of residency through submission of any one of the following documents:
(1) Motor vehicle records, such as a valid driver ' s license or a State-issued identification.
(2) Housing records, such as mortgage records or rent receipts.
(3) Public utility records and receipts, such as electric bills.
(4) Local tax records.
(5) A completed and signed, Federal, State or local income tax return with the applicant ' s name and address preprinted on it.
(6) Employment records, including records of unemployment compensation
Observations:
Based on review of agency policy/procedure and agency (consumer) amd personnel files and based on interview with the Administrator (Employee #8), the agency failed to obtain proof-of-residency documentation which verified Pennsylvania (PA) residency for the previous two (2) year period prior to the date of hire or first date of assignment for four (4) of six (6) agency staff members whose date of hire or first date of assignment was after June 14, 2022. (Employees #3, #4, #5 and #6)
Findings Include:
On April 30, 2025 at approximately 1:36 PM, review of agency "Policies & Procedures" revealed the following under "Hiring Staff Requirements":
If the direct care worker has been a resident of PA for less than 2 years, a federal criminal background check will be required.
Consumer #1: On April 30, 2025 at approximately 10:21 AM, review of the agency file revealed the Staff Manager (Employee #6) completed a non-medical assessment on 02/19/2025.
Consumer #2: On April 30, 2025 at approximately 10:42 AM, review of the agency file revealed the Staff Manager (Employee #6) completed a non-medical assessment on 02/04/2025.
Consumer #3: On April 30, 2025 at approximately 11:00 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #3) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 12/20/2024.
Consumer #4: On April 30, 2025 at approximately 11:17 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #4) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 11/04/2024.
Consumer #5: On April 30, 2025 at approximately 11:35 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #5) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 01/10/2025.
Review personnel files on April 29, 2025 at approximately 12:16 PM revealed the following:
Employee #3: The DCW's date of hire was 09/07/2022. Review of proof-of-residency documentation revealed the PA driver's license was issued on 05/18/2021. There was no documentation in the personnel file which provided evidence the agency had obtained documentation to verify proof of PA residency for the time period of 09/07/2020 through 05/17/2021.
Employee #4: The DCW's date of hire was 10/23/2023. Review of proof-of-residency documentation revealed the PA driver's license was issued on 12/03/2021. There was no documentation in the personnel file which provided evidence the agency had obtained documentation to verify proof of PA residency for the time period of 10/23/2021 through 12/02/2021.
Employee #5: The DCW's first date of assignment (contact date) was 07/11/2023. Review of proof-of-residency documentation revealed the PA driver's license was issued on 01/14/2022. There was no documentation in the personnel file which provided evidence the agency had obtained documentation to verify proof of PA residency for the time period of 07/11/2021 through 01/13/2022.
Employee #6: The Staff Manager's date of hire was 01/26/2024. Review of proof-of-residency documentation revealed the PA driver's license was issued on 11/05/2022. There was no documentation in the personnel file which provided evidence the agency had obtained documentation to verify proof of PA residency for the time period of 01/26/2022 through 11/04/2022.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed that documentation was not present in the personnel file which provided evidence the agency had obtained documentation which verified PA residency for the two (2) year period prior to the date of hire or first date of assignment for the above referenced employees.
Plan of Correction:An audit will be conducted by owner,employee 8,human resource manager, employee 7, and staff manager, employee 6 and any deficiencies will be corrected. Moving forward all new hires must have checklist and proof of residency signed off by two managers prior to any new direct care worker starting in client's home. The human resource manager, employee 7, will be responsible to ensure solutions are sustained and responsible to monitor the continued implementation of this plan of correction. A meeting will be conducted on 6/3/25 by the owner, employee 8, to address and correct deficient findings.
611.55(d) LICENSURE
Competency Requirements
Name - Component - 00
(d) The home care agency or home care registry shall include documentation of the direct care worker's satisfactory completion of competency requirements in the direct care worker's file.
Observations:
Based on review of documentation and agency (consumer) and personnel files and based on interview with the Administrator (Employee #8), the agency failed ensure the personnel file included documentation of satisfactory completion of an initial competency evaluation program prior to the assignment of two (2) of five (5) direct care workers to provide home care services. (Employees #4 and #5)
Findings Include:
On April 30, 2025 at approximately 10:01 AM, review of the consumer welcome/admission folder revealed the following as documented on the "PA Consumer's Rights and Responsibilities" form under "Quality of Care": To be served by individuals who are properly trained and competent to perform their duties...
Consumer #4: On April 30, 2025 at approximately 11:17 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #4) provided home care services in March and April 2025.
Consumer #5: On April 30, 2025 at approximately 11:35 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #5) provided home care services in March and April 2025.
Review personnel files on April 29, 2025 at approximately 12:16 PM revealed the following:
Employee #4: The DCW's first date of assignment was 11/05/2023. The competency exam included in the personnel file was undated and the exam was not scored.
Employee #5: The DCW's first date of assignment (contact date) was 07/11/2023. The competency exam included in the personnel file was undated and the exam was not scored.
The personnel files for Employees #4 and #5 failed to include documentation which provided evidence of satisfactory completion of a competency evaluation program prior to the assignment of the DCW's to provide home care services.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed the personnel files for the above referenced DCW's failed to included documentation of satisfactory completion of an initial competency evaluation program prior to the assignment to provide home care services.
Plan of Correction:An audit will be conducted by owner, employee 8, human resource manager, employee 7, and staff manager, employee 6 and any deficiencies will be corrected. Moving forward all new hires must have competency evaluation completed, scored and dated and signed off by two managers prior to any new direct care worker starting in the client's home. The human resource manager, employee 7, will be responsible to ensure the solutions are sustained and will be responsible to monitor the continued implementation of the plan or correction. A meeting will be conducted on 6/3/25 by the owner, employee 8, to address and correct deficient findings.
611.55(e) LICENSURE
Competency Requirements
Name - Component - 00
The competency review must occur at least once per year after initial competency is established, and more frequently when discipline or other sanction, including, for example, a verbal warning or suspension, is imposed because of a quality of care infraction.
Observations:
Based on review of agency documentation, agency (consumer) and personnel files and based on interview with the Administrator (Employee #8), the agency failed to ensure a competency evaluation program was completed annually (every 12 months) for two (2) of three (3) direct care workers (DCW) who were employed for more than twelve (12) months and for whom the date of completion of the initial competency evaluation was included in the personnel file. (Employee #1 and #3)
Findings Include:
On April 30, 2025 at approximately 10:01 AM, review of the consumer welcome/admission folder revealed the following as documented on the "PA Consumer's Rights and Responsibilities" form under "Quality of Care": To be served by individuals who are properly trained and competent to perform their duties...
Consumer #1: On April 30, 2025 at approximately 10:21 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #1) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 02/19/2025.
Consumer #3: On April 30, 2025 at approximately 11:00 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #3) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 12/20/2024.
Review personnel files on April 29, 2025 at approximately 12:16 PM revealed the following:
Employee #1: The DCW completed the initial competency evaluation program on 04/11/2022 and an annual competency evaluation program 03/13/2023. The next competency evaluation program was completed on 09/29/2024 which was more than 12 months after the 2023 competency evaluation program.
Employee #3: The DCW completed the initial competency evaluation program on 09/09/2022 and an annual competency evaluation program on 04/28/2025. There was no documentation in the personnel file which provided evidence the DCW completed a competency evaluation program in 2023 nor 2024.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed there was no documentation in the personnel file which provided evidence the above identified DCW's completed an annual competency evaluation program every 12 months.
Plan of Correction:A monthly audit will be conducted to ensure any direct care worker needing training will be sent an invitation from caregiver university to complete their required yearly. Direct care workers will complete training prior to starting at the client's home. The staff manager, employee 6 will monitor Caregiver Univerity to ensure training is completed and print certificate for the personnel file. The human resource manager, employee 7, will conduct quarterly checks to ensure the plan of correction is being implemented. A meeting will be conducted by the owner, employee 8, to address and correct deficient findings.
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 review of agency policy/procedure and agency (consumer) and personnel files and guidance from the Centers for Disease Control (CDC), and based on interview with the Administrator (Employee #8), the agency failed to ensure initial screening for mycobacterium tuberculosis (TB) was completed in accordance with CDC recommendations for five (5) of five (5) staff members whose first date of assignment was after June 14, 2022. (Employees #2, #3, #4, #5 and #6)
Findings Include:
On April 30, 2025 at approximately 1:36 PM, review of agency "Policies & Procedures" revealed the following under "Training Curriculum":
A 2-step PPD (TB skin test) being completed...per CDC guidelines.
On April 30, 2025 at approximately 2:55 PM, review of CDC recommendations for initial TB screening for health care personnel without a past history of a positive TB result revealed the following as documented on the CDC website: https://www.cdc.gov/tb-healthcare-settings/hcp/screening-testing/index.html
The TB screening process for health care personnel includes:
-A baseline individual TB risk assessment;
-TB symptom evaluation; and
-A TB test (TB blood test or a TB skin test (2-Step)).
Consumer #1: On April 30, 2025 at approximately 10:21 AM, review of agency file documentation revealed the Staff Manager (Employee #6) completed a non-medical assessment on 02/19/2025.
Consumer #2: On April 30, 2025 at approximately 10:42 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #2) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 02/04/2025.
Consumer #3: On April 30, 2025 at approximately 11:00 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #3) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 12/20/2024.
Consumer #4: On April 30, 2025 at approximately 11:17 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #4) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 11/04/2024.
Consumer #5: On April 30, 2025 at approximately 11:35 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #5) provided home care services in March and April 2025 and that the Staff Manager (Employee #6) completed a non-medical assessment on 01/10/2025.
Review personnel files on April 29, 2025 at approximately 12:16 PM revealed the following:
Employee #2: The DCW's first date of assignment was 02/17/2025. There was no documentation in the personnel file which provided evidence a baseline individual TB risk assessment had been completed.
Employee #3: The DCW's first date of assignment was 09/22/2022. There was no documentation in the personnel file which provided evidence a baseline individual TB risk assessment, TB symptom evaluation and TB skin test (2-step TST/PPD) or single-step blood test had been completed.
Employee #4: The DCW's first date of assignment was 11/05/2023. There was no documentation in the personnel file which provided evidence a baseline individual TB risk assessment, TB symptom evaluation and the second step TST (PPD) had been completed.
Employee #5: The DCW's first date of assignment (contact date) was 07/11/2023. There was no documentation in the personnel file which provided evidence a baseline individual TB risk assessment and TB symptom evaluation had been completed as the forms included in the personnel file were blank.
Employee #6: The Staff Manager's date of hire was 01/26/2024. There was no documentation in the personnel file which provided evidence a baseline individual TB risk assessment and TB symptom evaluation had been completed.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed there was no documentation in the personnel file which provided evidence initial TB screening had been performed in accordance with CDC recommendations for the above referenced DCW's.
Plan of Correction:The owner, employee 8, human resource manager, employee 7, and staff manager, employee 6 will conduct an audit to correct anyone missing TB testing. Moving forward all direct care workers must provide documentation of a negative TB result to be added to the new hire packet. The new hire packet will need two manager signatures to ensure no one starts until this is completed. The human resource manager, employee 7, will follow up with direct care workers for test results and will also be responsible to monitor the continued implementation of the plan of correction. A meeting will be conducted on 6/3/25 by the owner, employee 8, to address and correct deficient findings.
611.56(b) LICENSURE
Health Screening
Name - Component - 00
(b) A home care agency or home care registry shall require each direct care worker, and other office staff or contractors with direct consumer contact, to update the documentation required under subsection (a) at least every 12 months and provide the documentation to the agency or registry. The 12 months must run from the date of the last evaluation. The documentation required under subsection (a) shall be included in the individual's file.
Observations:
Based on review of agency documentation, agency (consumer) and personnel files, and guidance from the Centers for Disease Control (CDC), and based on interview with the Administrator (Employee #8), the agency failed to ensure annual education regarding mycobacterium tuberculosis (TB) had been provided to five (5) of five (5) agency staff members who were whose date of hire or first date of assignment was prior to January 1, 2024. (Employees #1, #3, #4, #5 and #7)
Findings Include:
On April 30, 2025 at approximately 10:01 AM, review of the consumer welcome/admission folder revealed the following as documented on the "PA Consumer's Rights and Responsibilities" form under "Quality of Care": To be served by individuals who are properly trained and competent to perform their duties...
On April 30, 2025 at approximately 2:58 PM, review of CDC recommendations for health care personnel revealed the following as documented on the CDC website: https://www.cdc.gov/tb-healthcare-settings/hcp/screening-testing/index.html
All health care personnel should receive annual TB education.
Consumer #1: On April 30, 2025 at approximately 10:21 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #1) provided home care services in March and April 2025.
Consumer #3: On April 30, 2025 at approximately 11:00 AM, review of HHAeXchange (software) and agency file documentation revealed the direct care worker (DCW-Employee #3) provided home care services in March and April 2025.
Consumer #4: On April 30, 2025 at approximately 11:17 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #4) provided home care services in March and April 2025.
Consumer #5: On April 30, 2025 at approximately 11:35 AM, review of HHAeXchange (software) and agency file documentation revealed the DCW (Employee #5) provided home care services in March and April 2025.
Review personnel files on April 29, 2025 at approximately 12:16 PM revealed the following:
Employee #1: The DCW's date of hire was 06/02/2022.
Employee #3: The DCW's first date of assignment was 09/22/2022.
Employee #4: The DCW's first date of assignment was 11/05/2023.
Employee #5: The DCW's first date of assignment (contact date) was 07/11/2023.
Employee #7: The Human Resource Manager's date of hire was 11/08/2022.
There was no documentation in the personnel file which provided evidence the Employees #1, #3 and #7 were provided TB education in 2023 nor 2024.
There was no documentation in the personnel file which provided evidence the Employees #4 and #5 were provided TB education in 2024.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed the agency failed provide annual TB education to the above identified employees in 2023 and/or 2024.
Plan of Correction:The owner, employee 8, human resource manager, employee 7 and staff manager, employee 6, will conduct an audit and deficiencies will be corrected. The human resource manager, employee 7 and staff manager, employee 6, will meet with current direct care workers to provide TB education. The direct care worker and manager will sign and date a document that TB education was completed. The signed document will be placed in their personnel file. This will be completed by 6/14/25. Moving forward, the human resource manager, employee 7, and the staff manager, employee 6, will meet annually with all direct care workers to provide TB education. The direct care worker and manager will sign and date a document that TB education was provided. The signed document will be placed in their personnel file. During an interview with a new direct care worker, the interviewer will provide TB education. The new direct care worker and manager will sign and date a document that TB education was provided. The document will be placed in their personnel file. The staff manager, employee 6, will be responsible to ensure this solution is implemented. The human resource manager, employee 7, will be responsible to monitor that all current and new direct care workers have TB education completed. A meeting will be conducted on 6/3/25 by the owner, employee 8, to address and correct deficient findings.
611.57(d) LICENSURE
Documentation
Name - Component - 00
(d) The home care agency or home care registry shall maintain documentation on file at the agency or registry of compliance with the requirements of this section which shall be available for Department inspection.
Observations:
Based on review of agency documentation and agency (consumer) files, and based on consumer interview and interview with the Administrator (Employee #8), the agency failed to ensure documentation was maintained in the agency (consumer) file which provided evidence five (5) of five (5) consumers were notified of the identity of the direct care worker (DCW) and the hours services were to be provided prior to the initiation of home care services. (Consumers #1, #2, #3, #4 and #5)
Findings Include:
On April 30, 2025 at approximately 10:01 AM, review of consumer welcome/admission folder revealed the following as documented on the form titled "PA Consumer's Rights and Responsibilities" under "Quality of Care": To receive...the identity of the direct care worker who will provide services...
Consumer #1: On April 30, 2025 at approximately 10:21 AM, review of HHAeXchange (software) and agency file documentation revealed home care services were initiated on 12/11/2023 and that the DCW (Employee #1) provided home care services daily for approximately 5 to 12 hours per day between 03/31/2025 through 04/27/2025.
Consumer #2: On April 30, 2025 at approximately 10:42 AM, review of HHAeXchange and agency file documentation revealed home care services were initiated on 02/17/2025 and that the DCW (Employee #2) provided home care services 5 days per week for approximately 4 hours per day between 03/31/2025 and 04/25/2025.
Consumer #3: On April 30, 2025 at approximately 11:00 AM, review of HHAeXchange and agency file documentation revealed home care services were initiated on 12/30/2024 and that the DCW (Employee #3) provided home care services 4 days per week for approximately 4 to 12 hours per day between 03/31/2025 and 04/24/2025.
Consumer #4: On April 30, 2025 at approximately 11:17 AM, review of HHAeXchange and agency file documentation revealed home care services were initiated on 11/05/2024 and that the DCW (Employee #4) provided home care services 3 to 4 days per week for approximately 3 hours per day between 03/31/2025 and 04/23/2025.
Consumer #5: On April 30, 2025 at approximately 11:35 AM, review of HHAeXchange and agency file documentation revealed home care services were initiated on 01/21/2025 and that the DCW (Employee #5) provided home care services 2 to 3 days per week for approximately 4 to 7 hours per day between 03/31/2025 and 04/25/2025.
There was no documentation in HHAeXchange nor the agency file which provided evidence Consumers #1, #2, #3, #4 and #5 were notified of the identity of the DCW and the hours services were to be provided prior to the initiation of home care services.
During telephone interview conducted on April 30, 2025 at approximately 12:04 PM, Consumer #2 reported that the identity of the DCW was provided during the meet and greet visit conducted prior to the initiation of home care services.
During interview conducted on April 30, 2025 at approximately 2:00 PM, the Administrator confirmed that there was no documentation in HHAeXchange nor the agency file which provided evidence the above identified consumers were notified of the identity of the DCW and the hours services were to be provided prior to the initiation of home care services.
Plan of Correction:The owner, employee 8, human resource manager, employee 7 and staff manager, employee 6 will conduct an audit of each client packet to add direct care worker information and days and hours scheduled. Moving forward client packets have been updated to include the direct care worker name and scheduled hours and days for the week. This will be provided to the client on the day of the intake. The staff manager, employee 6, will be responsible to ensure the solution is implemented. The human resource manager, employee 7, will be responsible to monitor the continued implementation of the plan of correction. A meeting will be conducted on 6/3/25 by the owner, employee 8, to address and correct deficient findings.
Initial Comments:
Based on the findings of an onsite state re-licensure survey conducted on April 30, 2025, County Caregivers, LLC was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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