| 6400.15(a) | The self-assessment for the home completed 8/24/21 had the following regulations left unanswered: 181e9-181f, 190a2-190c, and 211a-213(2). | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| Point of Caring, Inc. was in violation of 55 PA Code Chapter 6400.15(a), by failing to ensure that a self-assessment was fully completed for a home that the agency operates. Regulatory compliance within completion of self-assessments is critical in aiding provider agencies to measure compliance and correct any identified violations prior to an annual renewal inspection conducted by the Department. This violation occurred due to lack of experience for the new Program Specialist who was conducting the self-assessment. In order to avoid future violations of 55 PA Code Chapter 6400.15(a), the Program Specialist will receive extra training on 55 PA Code Chapter 6400.15(a), which occurred on February 22, 2022 and Point of Caring, Inc. will ensure a 2-point checking system wherein the Program Specialist will complete the self-assessment, and the CEO will review the self-assessment to ensure regulatory compliance. |
02/23/2022
| Implemented |