Pennsylvania Department of Health
Home Care Agency Definitions

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Act- The Health Care Facilities Act (35 P .S. §§ 448.101 - 448.904).           

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ChildLine - An organizational unit of the Department of Public Welfare which operates a state-wide toll-free system for receiving reports of suspected child abuse established under section 6332 of the Child Protective Services Law, 23 Pa. C.S. §§ 6301 - 6385 (relating to establishment of Statewide toll-free telephone number), refers the reports for investigation and maintains the reports in the appropriate file.       
    
ChildLine verification -  Verification regarding whether an applicant for employment or referral by a home care agency or home care registry is named in the Department of Public Welfare's Statewide Central Register as the perpetrator of a founded or indicated report of child abuse (as defined at 55 Pa. Code § 3490.4).     
        
Consumer - Individual to whom services are provided.   
        
Criminal history report - A State Police criminal history record or a Department of Aging letter of determination of eligibility for hire or roster based on a review of a federal criminal history record.          

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Department of Aging letter of determination - A written decision supplied by the Department of Aging regarding whether, based on the criminal history report from the Federal Bureau of Investigation, the applicant for employment by a home care agency or referral by a home care registry  may be employed or rostered.  
         
Direct care worker - The individual employed by a home care agency or referred by a home care registry to provide services to a consumer.

Direct consumer contact -  Face-to-face interaction with the consumer in the consumer's place of residence or other independent living environment.         

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Financial management services - One or more of the following services:      
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Home care agency - An organization, exclusive of a home health care agency, that supplies, arranges or schedules employees to provide assistance with activities of daily living or instrumental activities of daily living, companionship services or specialized care on an hourly, shift or continual basis to a consumer in the consumer's place of residence or other independent living environment for which the organization receives a fee, consideration or compensation of any kind. The term shall not include durable medical equipment providers, volunteer providers, or an organization or business entity designated under Section 3504 of the Internal Revenue Code and either IRS Revenue Procedure 70-6 or IRS Revenue Procedure 80-4 that provides only financial management services to consumers of publicly funded home and community-based waiver services.           

Home care registry - An organization or business entity or part thereof that supplies, arranges or refers independent contractors to provide assistance with activities of daily living or instrumental activities of daily living, or specialized care, in the consumer's place of residence or toher independent living environment for which the registry receives a fee, consideration or compensation of any kind.  The term shall not include an organization or business entity designated under Section 3504 of the Internal Revenue Code and either IRS Revenue Procedure 70-6 or IRS Revenue Procedure 80-4 that provides only financial management services to consumers of publicly funded home and community-based waiver services.                   

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Inspection - An examination or assessment of a home care agency or home care registry to determine compliance with requirements for licensure using one or more of the following means: inspection of records, interviews with office staff, consumers and direct care workers, and observation of the provision of services to consumers who have consented in advance to observation.  The inspection may or may not be on-site.           

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Nurse -a registered nurse or a licensed practical nurse.           

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Qualified health professional - An individual who holds a license or certification issued by the Commonwealth which allows for the performance of a physical examination, evaluation or assessment.  The term includes a physician, a physician's assistant, a registered nurse, and a certified registered nurse practitioner.           

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Statewide Central Register - ­A register of child abuse established in the Department of Public Welfare, which consists of founded and indicated reports of child abuse. 

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