QA Investigation Results

Pennsylvania Department of Health
ANGELS ON CALL
Health Inspection Results
ANGELS ON CALL
Health Inspection Results For:

This is the only survey for this facility

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.



Initial Comments:



Based on the findings of an onsite unannounced home care agency state re-licensure and complaint investigation survey conducted on November 10, 2020, Angels on Call, was found to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 51, Subpart A.



Plan of Correction:




Initial Comments:



Based on the findings of an onsite unannounced home care agency state re-licensure and complaint investigation survey conducted on November 10, 2020, Angels on Call, was found not 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:




611.55(a) LICENSURE
Compentency Requirements

Name - Component - 00
Prior to assigning or referring a direct care worker to provide services to a consumer, the home care agency or home care registry shall ensure that the direct care worker has done one of the following: (1) Obtained a valid nurse ' s license in this Commonwealth;
(2) Demonstrated competency by passing a competency examination developed by the home care agency or home care registry which meets the requirements of subsection (b)and (c).
(3) Has successfully completed one of the following:
(i) A training program developed by a home care agency, home care registry, or other entity which meets the requirements of subsection (b) and (c).
(ii) A home health aide training program meeting the requirements of 42 C.F.R. 484.36 (relating to the Conditions of Participation; Home Health Aide Services).
(iii) The nurse aid certification and training program sponsored by the Department of Education and located at www.pde.state.pa.us.
(iv) A training program meeting the training standards imposed on the agency or registry by virtue of the agency ' s or registry ' s participation as a provider in a Medicaid waiver or other publicly funded program providing home and community based services to qualifying consumers.
(v) Another program identified by the Department by subsequent publication in the Pennsylvania Bulletin or on the Department ' s website.

Observations:



Based on reviews of Personnel files (PFs), and an interview with the Regional Office Manager and Office Manager, the agency failed to ensure completed documentation demonstrating each direct care worker had satisfactorily completed an initial competency exam containing ten (10) areas of care and an additional six (6) areas of personal care for ten (10) of ten (10) files reviewed. (PF #1-PF #10).


Reviews of personnel files conducted on 11/10/20 between approximately 12:00 pm and 1:10 pm revealed the following:

PF#1, date of hire: 4/27/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 4/17/20. There was no grade or signature of the person that reviewed the test.

PF#2, date of hire: 2/5/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 1/16/20. There was no grade or signature of the person that reviewed the test.

PF#3, date of hire: 3/6/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 2/21/20. There was no grade or signature of the person that reviewed the test.

PF#4, date of hire: 2/19/20, contained an incomplete written competency test containing all sixteen (16) areas required date 2/3/20. There was no grade or signature of the person that reviewed the test.

PF#5, date of hire: 7/28/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 7/2/20. There was no grade or signature of the person that reviewed the test.

PF#6, date of hire: 5/28/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 5/7/20. There was no grade or signature of the person that reviewed the test.

PF#7, date of hire: 7/15/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 6/24/20. There was no grade or signature of the person that reviewed the test.

PF#8, date of hire: 11/6/17, contained an incomplete written competency test containing all sixteen (16) areas required dated 10/30/17. There was no grade or signature of the person that reviewed the test.

PF#9, date of hire: 10/28/20, contained an incomplete written competency test containing all sixteen (16) areas required dated 9/29/20. There was no grade or signature of the person that reviewed the test.

PF#10, date of hire: 10/2/10, contained an incomplete written competency test containing all sixteen (16) areas required dated 9/22/20. There was no grade or signature of the person that reviewed the test.


An interview conducted with the Regional Office Manager and Office Manager on 11/10/20 at approximately 1:45 pm confirmed the above findings.











Plan of Correction:

Plan of Correction for November 10, 2020 Survey

0600 Findings
PF#1 PF#10 -Competency Requirements
Agency retrained the Office Manage and Field Service Coordinator to ensure that the Staff Training and Competency Test indicates the Caregiver Name, Hire Date, Evaluators Signature, Review Date and Test Score, including number of questions that were correct and the grade (percentage rate).
On November 19, 2020 the Staff Training and Competency Test were revised to add information regarding the number of questions that were answered correctly and the percentage grade of the test.
The Office Manager will be responsible to pull 5 files per month until 90% compliance is complete. The Office Manager will be responsible to monitor the continued implementation of the plan and ensure that the Staff Training and Competency Test are completed.



Initial Comments:



Based on the findings of an onsite unannounced home care agency state re-licensure and complaint investigation survey conducted on November 10, 2020, Angels on Call, was found to be in compliance with the requirements of 35 P.S. 448.809 (b).



Plan of Correction: