| 6400.151(c)(3) | Direct Service Worker #1's physical examination, completed 2/6/2023 did not address communicable disease; therefore, compliance could not be measured. | The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | Specific Change to be Made: Plan of Correction for Violation of 55 PA Code Chapter 6400.151(c)(3)
¿ The office manager will Implement a mandatory physical examination policy for all staff, including a signed statement regarding communicable diseases.
2. Person Responsible for Making the Change:
¿ The office manager and the Health and Safety Officer will be responsible for ensuring compliance with this policy.
3. Timeline for Implementation:
¿ Immediate Action: Within the next 30 days or sooner, all current staff physicals that do not have the statement regarding communicable diseases will be submitted to the original practitioner to document on the agency's approved physical examination form, which has the statement regarding communicable diseases.
¿ Ongoing Compliance: New hires must submit this documentation on their physical forms before commencing work.
4. Method of Implementation:
¿ Develop and distribute a standardized form that has a statement regarding communicable diseases for the practitioner to sign off on.
¿ Maintain a secure database to track compliance.
5. System for Ensuring Ongoing Compliance:
¿ Monthly audits by the Health and Safety Officer and office manager to ensure all staff records are up-to-date and all physicals include the signed statement regarding communicable diseases.
¿ Annual review and re-certification requirement for all staff or as needed for expired physicals.
¿ Integration of this requirement into the onboarding process for new hires.
6. Training Provided to Staff:
¿ An immediate training session will be held for all current staff who are involved in the process of medical records on the importance of this policy and the steps for compliance.
¿ Incorporation of this topic into the regular training schedule for continuous education.
Documentation and Monitoring:
¿ Regular reports to management ( the PS, and CEO ) on compliance status.
¿ Documentation of all training sessions and attendance records.
¿ Periodic review of the policy and its effectiveness, with adjustments as necessary.
Communication:
¿ Inform all staff about the new policy and its implications through meetings, emails
¿ Open a channel for staff to ask questions or express concerns about the policy.
¿ stay updated with any changes in regulations or best practices in healthcare standards. |
01/15/2024
| Implemented |