QA Investigation Results

Pennsylvania Department of Health
ASPIRE HOME CARE LLC
Health Inspection Results
ASPIRE HOME CARE LLC
Health Inspection Results For:


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Initial Comments:

Based on the findings of an onsite State Licensure Survey completed 4/30/2024, Aspire Home Care, 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 State Licensure Survey completed 4/30/2024, Aspire Home Care, 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:




611.57(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 review of consumer files (CF), and staff (EMP) interview, the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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 for eleven (11) of eleven (11) consumer files (CF) reviewed (CF1 - CF11).

Findings Included:

Review of consumer files was conducted on 4/25/2024 between 10:00 a.m. and 12:00 p.m.

CF1 with a start of care date of 9/23/2021 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF2 with a start of care date of 9/14/2022 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF3 with a start of care date of 4/23/2023 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF4 with a start of care date of 1/23/2024 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF5 with a start of care date of 10/22/2021 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF6 with a start of care date of 10/10/2022 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF7 with a start of care date of 4/25/2021 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF8 with a start of care date of 2/05/2024 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF9 with a start of care date of 7/28/2022 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF10 with a start of care date of 11/20/2022 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

CF11 with a start of care date of 1/10/2023 revealed the agency failed to provide to the consumer, the consumer's legal representative or responsible family member, prior to the commencement of services, an information packet containing the following information in a form that is easily read and understood: (1) 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. The contact information provided for the Department Of Health, Division Of Home Health did not contain the correct address.

Interview with EMP1 on 4/30/2024 at 2:30 p.m. confirmed the above findings.



























Plan of Correction:

WE HAVE INFORMED SOME OF OUR CLIENTS AND WILL CONTINUE TO CONTACT BY PHONE OR FACE TO FACE WITH ALL UPDATES REGARDING WHO TO CONTACT AT THE DEPARTMENT FOR INFORMATION ABOUT LICENSURE REQUIREMENTS FOR HOME CARE AGENCY.
WE ADDED REVISIONS TO OUR CONSUMER WELCOME PACKET AND WILL GIVE COPIES BY REQUEST.
WE WILL SEND LETTERS INCLUDING THE DEPARTMENT OF HEALTH DIVISION'S UPDATE ADDRESSES AND CONTACT DETAILS.

PROCESS TO AVOID RECURRENCE: WE WILL CONTINUE TO DO MONTHLY POLICY AND CONSUMER PACKET REVIEWS. REVISIONS WILL BE IMPLEMENTED AS NEEDED. WE WILL CONTINUE OUR CONSUMER COMMUNICATION FOR UPDATES. CORRECTION PLAN WILL BE COMPLETED BY 05/31/2024.


Initial Comments:

Based on the findings of an onsite State Licensure Survey completed 4/30/2024, Aspire Home Care, LLC was found to be in compliance with the requirements of 35 P.S. 448.809 (b).




Plan of Correction: