6400.45(d) | Per Individual #1's ISP, updated 2/26/15, Individual #1 is to receive "24 hour general supervision." Individual #1 does not receive "Additional Individual Staffing" services or "Supplemental Habilitation" staffing services. Per Individual #2's ISP, updated 3/26/15, Individual #2 is to receive "Additional Individual Staffing" service "Sunday-Saturday 8A-8PM (12 hrs per day) including holidays." Per the ISP for Individual #3, updated 5/7/15, Individual #3 is to receive "Supplemental Habilitation" staffing services, "Mon-Sun 9AM-9PM." All individuals are to have awake overnight staff. On 5/16/15, while there was "Additional Individual Staffing/Supplemental Habilitation" staff providing services to Individual #2 and Individual #3, there was no Agency Direct Service Worker present from 2:00 PM to 2:52 PM, leaving Individual #1 unsupervised. Per Individual #3's ISP, updated 6/25/15 and effective 7/10/15, the "Supplemental Habilitation" services were reduced to 5:00 PM-9:00 PM, Monday through Friday plus 16 hours Saturday/Sunday. On the weekend of 7/11/15 to 7/12/15, Individual #3 received "Supplemental Habilitation" staffing services from 6:47 AM to 4:00 PM and then from 5:00 PM to 10:00 PM, which totals 14.25 hours. Individual #4 moved into the home on 5/29/15 and began receiving "Supplemental Habilitation" staffing services on 7/9/15. Per the ISP, updated 7/10/15, Individual #4 is to receive this service "Sun-Sat 7AM-3PM and 3PM-12AM (12 hrs/day)." On Saturday, 7/11/15, Individual #4 did not have any "Supplemental Habilitation" staffing services from 7:00 AM to 7:30 AM. On Sunday, 7/12/15, Individual #4 did not receive "Supplemental Habilitation" staffing services from 3:00 PM to 3:30 PM. On 7/13/15, Individual #4 did not receive "Supplemental Habilitation" staffing services from 7:00 AM to 7:38 AM and from 3:18 PM to 5:00 PM. There was no Agency Direct Service Workers working at the home on 7/9/15 from 11:00 PM to Midnight. | The staff qualifications and staff ratio as specified in the ISP shall be implemented as written, including when the staff ratio is greater than required under subsections (a), (b) and (c). | The Residential Program Supervisor will continue to provide training to staff on the importance of clocking in/out correctly and accordingly to reduce occurrences of neglect and being out of ratio. The Assistant Program Directors and Program Specialists will continue to train staff and supervisors on complying with ratios and assuring ISP¿s are correct, accurate, and clear in regards to times of services and ratio¿s. The above mentioned trainings will be documented by having the staff sign and date all training materials and sign in sheets.For the following statements supporting documentation will be emailed: In Individuals #3¿s ISP it states in the Staffing Ratio-Home section ¿7/10/15 S.H. REQUEST FOR 4HRS/DAY MON-FRI. EFF 7/10/2015 JASON¿S STAFF RATIO AT HIS HOUSE DAY SHIFT (7AM-5PM) 1:4 AND SH, 2:4 (5PM-10PM PLUS 16 HRS SAT/SUN¿. The 16 hours Saturday and Sunday is not referring to his Supplemental Habilitation but the CLA staff. Effective 7/10/15 this individual receives Supplemental Habilitation Mon-Fri 5pm-9pm no Supplemental Habilitation on Saturday or Sunday (Attachment #1) On 7/11/15 Supplemental Habilitation was provide to this individual 5:10pm-10:01pm. On 7/12/15 Supplemental Habilitation was provide to this individual 5:04pm-9:01pm. (Attachment #2)
. MITC Clock In /Out report shows staff clocked out at 00:06:26. That is not 6:26am, it 12:06am. (Attachment #3)The staff member that was scheduled to provide Supplemental Habilitation to Individual #4 3pm-12am on 7/12/15 was working a double. She was working 8am-3pm as CLA staff and 3pm-12am as Supplemental Hab staff. At 3pm she failed to clock out of CLA and into Supplemental Hab, she did it at 3:24 pm when she realized she forgot at 3pm. (attachment # 4 and attachment #5)Mamawa Kpakra was clocked in to the CLA 2:02pm-11:01pm on 7/10/15 (Attachment # 6) on 7/11/15 form 3:00PM to 9:55PM; on 7/12/15, from 3:24 PM to 4:50PM Danyaro Boatwright was clocked in to the CLA 9:02am-5:02pm on 7/12/15 (Attachment #7) and on 7/13/15 form 11:00PM to Midnight. [CEO or designee will immediately request clarification from SC on Individual #3's ISP regarding weekend Supplemental Habilitation hours and will follow according to clarification. Documentation of clarification will be submitted to the Department via email to narmstrong@pa.gov. PS will review staff clocking in and out records at least monthly for the next 3 months to ensure accuracy. All staff at all homes will receive the above mentioned trainings by 2/2/16 and time record reviews at least quarterly for 6 months. (AS 12/2/15)] |
11/09/2015
| Implemented |