| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(a) | Per Individual #1's record, "representative payee: HCA (Hoffman Care Associates) does not provide representative payee services. This is done by a person or organization outside of HCA." The agency's financial policy does not indicate that the agency, HCA, or a person from the agency will not provide representative payee services, should the individual require this, or a policy to obtain representative payee services for an individual. | There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property. | Financial Policy has been updated stating the following -
HCA has in the past offered to provide Rep Payee services. HCA no longer provides Representative Payee Services for incoming clients, but will continue to provide services for current clients who are already utilizing HCA for Rep Payee services. |
05/24/2022
| Implemented |
| 6400.43(b)(1) | Staff person #1 was hired on 3/2/21. At the time of the 3/8/22 inspection, no one from the agency had any orientation or initial hire paperwork for the staff. No one from the agency knew if Staff person #1 lived in the state of Pennsylvania two years prior to their date of hire to know if an FBI background checked was needed. There were no records that an FBI background check or attestation form was completed.
Staff person #2 was hired on 8/4/21; there is no record that a FBI criminal history record check was done or that a record of attestation of residency in Pennsylvania was completed.
As referenced in 6400.163a of this report, Individual's #1's mother purportedly adds medication into Individual #1's old medication bottles and brings bottles to the home for staff to administer the medications within said bottles. There are no records that agency staff confirm the medication within the bottles is the medication matching the pharmacy label on the bottle, or that the medication was prescribed by Individual #1's physician. The home has continued to administer medications to Individual #1 knowing a licensed pharmacist might not be refilling the medication bottles. Additionally, the home indicated Individual #1's mother and father are their Power of Attorney or legal guardian but did not have documentation confirming this. The home has allowed Individual #1's mother and father to make medical decisions for the Individual without confirming they have court-appointment authority to do so. | The chief executive officer shall be responsible for the administration and general management of the home, including the following: Implementation of policies and procedures. | Staff #1 will redo orientation and complete the necessary paperwork. Staff #1 has resided in PA for the required time period and will review and sign the Affidavit of Residency.
Staff #2 left the company the Monday after our inspection, so we were not able to do anything with her. |
05/27/2022
| Not Implemented |
| 6400.76(a) | The couch in the living room of the home was broken and the center couch cushion was falling into the back of the couch. | Furniture and equipment shall be nonhazardous, clean and sturdy. | The couch in the living room has been replaced and is in working order |
05/10/2022
| Implemented |
| 6400.82(f) | During the 3/10/22 inspection of the home, Individual #1 did not have body soap, hair shampoo, or soap to wash themselves with during a shower. During the onsite, staff reported that they were unaware the individual was out of personal cleaning items, or how long the individual was out of personal cleaning items. The wash cloth in Individual #1's bathtub was wet but person cleaning items were not in the home. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | House Manager has created a weekly inventory checklist for clients in regards to personal hygiene products. Staff are to complete the inventory weekly checking off if any personal hygiene products are running low so that they can be replenished. |
05/09/2022
| Implemented |
| 6400.111(f) | At the time of the 3/8/22 inspection, there are no records that the home had the fire extinguishers inspected by a fire company on an annual basis. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | Date of inspection is on the extinguisher. All fire drills were re-inspected following state inspection and are up to date. |
05/02/2022
| Not Implemented |
| 6400.141(c)(7) | REPEAT from 1/4/21 annual inspection: Individual #1's 7/8/21 physical examination record did not include a gynecological examination. The physical examination record stated a gynecological examination was not applicable but did not provide a medical reason as to why this examination is not applicable to the individual. | The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. | Individual's PCP has sent documentation stating "PAP and gynecological exam not needed as individual has never been sexually active". PCP clarified that as long as this remains the case, client does not need gyno/PAP exam. |
05/20/2022
| Not Implemented |
| 6400.141(c)(14) | Individual #1's 7/8/21 physical examination record did not include information pertinent to diagnosis and treatment in case of an emergency. The field was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Parents met with PCP to have PCP complete missing information on Physical Exam. PCP completed this portion of the physical, clarifying information pertinent to diagnosis ICE. |
05/20/2022
| Not Implemented |
| 6400.142(f) | Individual #1 had retainers for their teeth laying on their bed-side table. There are no records that the individual's dental hygiene plan or assessment includes an assessment of their ability to maintain and use their dental retainers, or the type of assistance they need to use and maintain the retainers. | An individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. | HCA communicated with client's parents (POA) that this information was needed from orthodontist. Parents sent over instructions and addendum to assessment and dental hygiene plan was completed by program specialist. |
05/20/2022
| Implemented |
| 6400.144 | The home failed to implement health maintenance needs for Individual #1 in the following areas:
Surgery
· On 9/1/21 the individual had skin biopsied from their upper right back to rule out Atypia, received a diagnosis of Melanocytic Nevus, wound care instructions were provided, and the physician indicated the follow up will be determined pending the pathology results. At the time of the 3/8/22 inspection, the home had no knowledge or record of the pathology results from the skin biopsy, nor was there records of follow up information.
· The wound care instructions from the 9/1/21 biopsy, state to leave the bandage applied until the next morning, in the morning remove the bandage, cleanse the area gently every day with mild soap and water, then apply Vaseline or Aquaphor ointment and a new bandage, apply Vaseline or Aquaphor to the site 1-2 times daily to prevent biopsy site from drying out, and wound care can stop when the site is not open or crusty in approximately 7-10 days. There are no records wound care was completed as instructed.
Physician
· On 10/5/21 the individual's physician reported that the individual was due for their PAP examination. At the time of the inspection, there are no records Individual #1 received a PAP, refused a PAP, or was provided any other orders for deferment.
· On 11/2/21 the individual was ordered to continue checking blood pressure twice a day while allowing the patient to play/work with beads as their blood pressure was being checked in an attempt to reduce patient's anxiety; with special instructions to check blood pressure whenever family visits. There are no records maintained that these orders were followed.
· On 12/13/21 the individual was ordered to continue checking blood pressure once a day and logging, continue current treatment with Metroprolol 25mg. Staff continued to check the individual's blood pressure twice a day and did not reduce the frequency. Additionally, staff recorded "away" if they did not take the individual's blood pressure. However, there were occasions where the individual wasn't out of program or away for the day, but just on an outing during the morning or evening shifts when staff were taking blood pressure. Attempts weren't made to obtain the individual's blood pressure during a time they were home that day instead of recording "away." | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| HCA met with parents and client's support team members to discuss needed information from medical appointments, as well as how often medical appointments need to happen. |
04/19/2022
| Not Implemented |
| 6400.151(a) | Staff person #1 was hired on 3/2/2021. At the time of the inspection, there are no records that they had a physical examination, and all components of 6400.151, completed prior to or after, hire.
Staff person #3 has worked independently and directly with individuals over the previous year. At the time of the 3/8/22 inspection, there are no records maintained that they received a physical examination after 11/14/17.
There is no record of Staff person #2 having a physical examination prior to employment. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | Staff #1 will redo the physical and TB test. |
05/27/2022
| Not Implemented |
| 6400.151(c)(2) | There are no records that Staff person #1 had a TB test by Mantoux method completed with negative results prior to or after their 3/2/2021 date of hire.
At the time of the 3/8/2022 inspection, there are no records maintained that Staff person #3 received a Tuberculin skin test with negative results after 11/17/17. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | Staff #1 will redo the physical and TB test. |
05/27/2022
| Not Implemented |
| 6400.181(e)(4) | Individual #1's initial, 9/17/21, and current, 11/16/21 assessments state that the individual can test out 1 hour of alone time within the home. Per Staff person #4, the creator of the assessments, the individual cannot have any alone time within the residential licensed home. | The assessment must include the following information: The individual's need for supervision.
| Addendum to assessment was completed by program specialist, which reevaluated individual need for alone time. Individuals supervision needs were updated accordingly, stating the individual does not have any alone time. |
05/02/2022
| Not Implemented |
| 6400.216(a) | Individual #2's previous records information was unlocked and accessible in a large, clear, storage bin, sitting on the floor in the alcove right outside their bedroom. The bin was almost completely filled with personal record information. The bin was approximately 2'x1'x1' rectangle. | An individual's records shall be kept locked when unattended.
| All storage bins containing individual records have been placed under lock and key in the staff closet. |
05/10/2022
| Implemented |
| 6400.34(a) | REPEAT from 1/4/21 annual inspection: At the time of the 3/8/22 inspection, there are no records that the home informed and explained individual rights and the process to report a rights violation to Individual #1's Power of Attorney, upon the individual's 7/17/21 admission, or after. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | POA of individual was sent the individual rights document and completed and signed this document. |
05/03/2022
| Not Implemented |
| 6400.46(a) | Staff person #1 started working directly with individuals on 3/14/21. The fire safety training provided to Staff person #1 on 3/4/21 and 3/11/21 did not include training on the use of fire extinguishers. | Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. | Fire Extinguisher Training has been added to HCA's fire training manual. All staff working with individuals have completed the training and signed off on documentation. |
05/09/2022
| Implemented |
| 6400.46(c) | Staff person #1 was hired on 3/2/21 and worked directly with individuals on 3/14/21, being the sole caregiver and transporter on numerous occasions after 3/14/21. At the time of the 3/8/2022 inspection, there are no records that the staff person received training in first aid techniques. | Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home shall be trained before working with individuals in first aid techniques. | Staff #1 will be retrained on First Aid/CPR. |
05/27/2022
| Implemented |
| 6400.46(d) | Staff person #1 was hired on 3/2/21. At the time of the 3/8/2022 inspection, there are no records that the staff person received training by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. | Staff #1 will be retrained on First Aid/CPR. |
05/27/2022
| Implemented |
| 6400.51(b)(1) | Staff person #1 was hired on 3/2/21. At the time of the 3/8/22 inspection, there are no records maintained that they received orientation prior to working with individuals in person-centered practices, community integration, individual choice, and supporting individuals to develop and maintain relationships.
Staff person #3 worked directly with Individual #1 and there are no records of orientation training received by said staff covering all topics described in 6400.51(b)(1) prior to working with the individual. | The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | Staff #1 will redo orientation as will Staff #3. |
05/27/2022
| Implemented |
| 6400.51(b)(2) | Staff person #1 was hired on 3/2/21. At the time of the 3/8/22 inspection, there are no records maintained that they received orientation prior to working with individuals in prevention, detection & reporting abuse, suspected abuse, and alleged abuse in accordance with the Older Adults Protective Services Act (OAPSA), Adult Protective Services Act (APSA), the Child protective services law (CPSL) and applicable protective services regulations.
Staff Person #2's orientation prior to working with individuals did not include a review of requirements defined in 6400.51(b)(2).
Staff person #3 worked directly with Individual #1 and there are no records of orientation training received by said staff covering all topics described in 6400.51(b)(2) prior to working with the individual. | The orientation must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§10225.101-10225.5102). The child protective services law (23 PA. C.S. §§6301-6386) the Adult Protective Services Act (35 P.S.§§ 10210.101-10210.704) and applicable protective services regulations. | Staff #1 will redo orientation, as will Staff #3. Staff #2 left the company a few days after inspection. |
05/27/2022
| Not Implemented |
| 6400.51(b)(3) | Staff person #1 was hired on 3/2/21. At the time of the 3/8/22 inspection, there are no records maintained that they received orientation prior to working with individuals in individuals' rights defined in 6400.31-34.
Staff person #3 worked directly with Individual #1 and there are no records of orientation training received by said staff covering all topics described in 6400.51(b)(3) prior to working with the individual. | The orientation must encompass the following areas: Individual rights. | Staff #1 will redo orientation, as will Staff #3. |
05/27/2022
| Implemented |
| 6400.51(b)(4) | Staff person #3 worked directly with Individual #1 and there are no records of orientation training received by said staff covering all topics described in 6400.51(b)(4) prior to working with the individual. | The orientation must encompass the following areas: recognizing and reporting incidents. | Staff #3 will redo orientation. |
05/27/2022
| Implemented |
| 6400.51(b)(5) | Staff person #1 was not provided an in-person training component to individual-specific plans, protocols, health needs, etc. of the persons they work directly with. According to their staff record, the agency required Staff person #1 to read individual's behavior support plans and sign the signature sheet indicated they read the individual's plans without an in-person training provided. Staff person #1's record also indicated they were sent an email from the agency to complete a training on the use of CPAP machines and sign the signature sheet that they completed this independently.
The records maintained of training provided to staff on Individual #1's individual plan did not include an in-person orientation training component. Staff were required to independently read the individual's plan and sign acknowledgement they completed this independently.
The records maintained of training on Individual #1's 1/13/22 behavior support plan did not include an in-person orientation training component. Staff were required to independently read the individual's plan and sign acknowledgement they completed this independently. The plan was created and implemented on 1/13/22. Staff read and signed acknowledgment to reading the plan from 1/20/22 to 2/4/22.
Staff person #3 worked shifts independently with Individual #1 and there are no records they were oriented to individual-specific plans, health needs, etc. Individual #1 had a new behavior support plan implemented on 1/13/2022 and there are no records Staff person #3 was trained on that plan.
Staff have been using a blood pressure machine daily to monitor Individual #1's blood pressure. There are no records maintained that any of the staff using the Omron blood pressure machine were trained in operability of the device or the physician's specific instructions for how to take and monitoring Individual #1's blood pressure. | The orientation must encompass the following areas: Job-related knowledge and skills. | Staff #1 will redo the required in-person trainings.
Staff #3 will be trained on Individual #1's behavior support plan.
All staff will be trained in-person on using the blood pressure machine. |
05/27/2022
| Implemented |
| 6400.52(a)(1) | Staff person #1 was hired on 3/2/2021. At the time of the 3/8/2022 inspection, Staff person #1 only had records of receiving 2.5 hours of training within their first year of employment.
Staff person #3 has provided direct support services to individuals throughout the past year. There are no records maintained that Staff person #3 received any training hours during the agency's fiscal training year. | The following shall complete 24 hours of training related to job skills and knowledge each year: Direct service workers. | Staffs #1 and #3 are back on track with two hours of training per month. Administrative staff will track the progress of hours throughout the year and ensure that staff has 24 hours for the training year. |
05/27/2022
| Not Implemented |
| 6400.52(b)(1) | There are no records maintained that Staff person #5 received 12 annual training hours. | The following shall complete 12 hours of training each year: Management, program, administrative and fiscal staff persons. | CEO will complete required training hours and submit to supervisor. |
05/02/2022
| Implemented |
| 6400.163(a) | During the 3/10/22 onsite inspection, there were two Clonidine medication bottles filled with medication for Individual #1. Both bottles had a medication fill date in June 2021 and July 2021 respectively. Staff person #4 confirmed onsite that Individual #1's mother takes the empty Clonidine medication bottles, fills them with medication, and returns the same containers to the home, just refilled with medication. Staff person #4 confirmed that there are no records maintained by the agency, Hoffman Care Associates, to confirm that the medication they receive in the bottles from the mother, are Clonidine pills, or that the pharmacy was the entity that filled medication in the Clonidine bottles. | Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy. | HCA held a team meeting with individuals POA and support teams to let them know the issue, and protocol that staff cannot accept re-used bottles. |
04/19/2022
| Implemented |
| 6400.165(a) | Individual #1's February 2022 medication administration record (mar) states, Lithium Carbonate 300mg and 450mg tablets, start a new dose per physician on 2/24/22. There are no records in writing from the prescriber of this change.
The home does not have written prescription orders from Individual #1's prescribing physicians for all of Individual #1's current medications, or for medication changes when they occurred throughout the year. Per agency, the family has refused to allow the agency to talk or communicate with the individual's physicians, the agency has attend very limited appointments, the family has provided little to no notice if they take the individual to an appointment, and the family rarely provides any physician's summaries from appointments.
Staff administered wart remover strips to Individual #1 on 8/16/21, 8/24/21, 8/29/21, 9/1/21, 9/9/21, 9/12/21, 9/19/21, and three times in December 2021, without physician's orders or instructions to do so. The home had wart remover kit onsite but not physician's orders or instructions for use of that. The medication was purportedly provided to the home by the individual's mother.
Onexton gel medication was discontinued on the individual's mars on 10/19/21. There are no records of this written order to discontinue the medication.
Atenolol 25mg was administered daily at 8am to Individual #1 starting on 11/24/21 and there are no records of the physician's order. | A prescription medication shall be prescribed in writing by an authorized prescriber. | Team Meeting was held with individuals parents (POA) and support team to explain barriers to continued health care. Needs and documentation were communicated to parents. PCP has since sent over an updated medication list explaining all medications, doses, times to be taken. |
05/20/2022
| Implemented |
| 6400.165(b) | Individual #1's prescribing physician indicated on 8/25/21 and 1/7/22 that the individual was ordered Clonidine HCL ER .1mg, take 1 tablet at 8am and 1 tablet at 4pm. The pharmacy label order on the medication at the home did not match the physician's order. The medication label stated to administer 2 tablets at 8am and 2 tablets at 4pm. At the time of the 3/8/22 inspection, there were no records confirming the correct prescribed order of Clonidine to Individual #1. | A prescription order shall be kept current. | Team Meeting was held with individuals parents (POA) and support team to explain barriers to continued health care. Needs and documentation were communicated to parents. PCP has since sent over an updated medication list explaining all medications, doses, times to be taken. |
05/20/2022
| Implemented |
| 6400.165(c) | The pharmacy issued label on Individual #1's Lithium Carbonate ER 300mg, states to administer 2 tablets by mouth twice a day. According to the individual's February and March 2022 mediation administration records (mars), staff have been administering 1 tablet, twice a day. As referenced in 6400.165(a) of this report, the agency does not have record of the written order from the prescribing physician to only administer one tablet twice a day (or any other order). | A prescription medication shall be administered as prescribed. | HCA staff will continue to monitor medication instructions from doctors to verify that labels on MARS and bottles match doctor instructions. |
04/19/2022
| Implemented |
| 6400.165(f) | Individual #1's individual plan does not include a plan to address their social, emotional, and environmental needs (SEEN) related to the symptoms of their psychiatric illnesses. Individual #1's individual plan states, the agency doesn't have a SEEN plan for the individual, the agency is working on a behavior support plan, and that the individual has a behavior support plan. The entire plan the agency is to use to assist the individual is not in the individual's plan. Additionally, the individual entered the agency on 7/17/21, was prescribed psychotropic medications for psychiatric reasons, and did not have a behavior support or SEEN created until 1/13/22. Additionally, Individual #1's behavior support plan included the name of another individual in the plan. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. | There is an existing SEEN plan for the individual |
03/16/2022
| Implemented |
| 6400.165(g) | Individual #1 had their psychiatric medications reviewed with a licensed physician on 8/24/21 and not again until 1/7/22. The individual's PA-C did review their medications on 11/11/21, but there are no records that the review was reviewed and approved by a licensed physician. Additionally, the 1/7/22 medication review did not include documentation of the physician's reason for prescribing the medications. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | HCA held team meeting with POA and individual's support team to discuss when appointments are needed and how often. HCA addressed with family WHO needs to sign off that an appointment was completed. |
04/19/2022
| Implemented |
| 6400.166(a)(7) | Individual #1's February 25th-28th and March 2022 medication administration records (mars) state the individual was administered Lithium Carbonate ER 300mg, 1 tablet twice daily by mouth. However, the pharmacy label on the individual's Lithium Carbonate 300mg at the home on 3/10/22, stated to administer 2 tablets twice a day by mouth. The home didn't have record of the actual dose administered to the individual.
The dose of Clonidine HCL ER administered at 4pm from 7/17/21-7/29/21 was not recorded. According to the July 2021 mar, the instructions listed 2 tablets as the dose, but this was crossed out and 1 tablet was written. There are no records of who made this change or when. The special instructions stated the administer 2 tablets at 8am and 1 tablet at 4pm. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication. | HCA met with team/POA to discuss needed information including precise administration instructions from PCP. PCP has since sent over those instructions and manager ensures MAR's reflect accordingly. |
04/19/2022
| Implemented |
| 6400.166(a)(9) | Individual #1's physician prescribed Onexton gel at some point in August 2021 per agency. The individual's medication administration records (mars) from August 2021-October 2021 state to apply one application "highly" instead of nightly. The mars do not state where the individual is to apply the cream. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration. | HCA met with team/POA to discuss needed information including precise administration instructions from PCP. |
04/19/2022
| Implemented |
| 6400.166(a)(11) | Individual #1's medication administration records (mars) from July 2021 to March 2022, do not include the reason for prescribing ethinyl estradiol levonorgestrel/levono-e estrad. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | HCA met with team/POA to discuss needed information including precise administration instructions from PCP. |
04/19/2022
| Implemented |
| 6400.169(a) | Medication trainer, Staff person #3, indicated that Staff person #1 passed the Department's initial medication administration training course on 7/28/21. However, the sequence of training courses and observations passed were not completed as outlined in the Department's initial medication administration training course to be properly certified to administer medications. According to the training course, staff must complete and pass the multiple-choice test, written test and handwashing and gloving prior to completion of medication observations. Staff person #3 documented that Staff person #1 completed 4 medication observations and the handwashing and gloving components on 6/14/21. Staff #1 did not complete the multiple choice or written documentation test until 7/28/21. Staff person #1 was administering medications to Individual #1. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration). | Staff #1 will redo medication administration training. |
05/27/2022
| Implemented |
| Article X.1007 | Hoffman Care Associates is required to maintain criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 -- 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff person #1 was hired on 3/2/21. On 11/9/2021 the agency acknowledged that a Pennsylvania state police criminal history record check could not be located for Staff person #1. At the time of the 3/8/2022 inspection, the agency did not request another PA state police criminal history record check until 3/8/2022, and the results have not been determined yet.
Staff person #2 was hired on 8/4/21; a Pennsylvania state criminal history record check was not requested until 8/17/21. | When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application. | Staff #1 had a new PSP criminal background check run. |
05/27/2022
| Not Implemented |