Every finding on record at A & L Home Care and Training Center, LLC

Emergency Preparedness Survey At the time of the emergency preparedness survey completed 10/12/21, A and L Home Care and Training Center is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Standard Recertification Survey An entrance conference was conducted on 10/04/21 at 9:00 A.M. with administrative staff, and an exit conference was conducted on 10/12/21 at 2:30 P.M. with administrative staff. The following deficiency was issued as a result of the standard recertification survey completed on 10/12/21. A and L Home Care and Training Center 368130, is not in compliance with the requirements of 42 CFR Part 484, Subpart B, C for Home Health Agencies.

Report all branch locations to SA CFR(s): 484.105(d)(1) The parent HHA is responsible for reporting all branch locations of the HHA to the state survey agency at the time of the HHA's request for initial certification, at each survey, and at the time the parent proposes to add or delete a branch. This ELEMENT is not met as evidenced by: Based on observation, interviews, and a review of the agency business brochure, the agency failed to report all branches to the state survey agency at the time the parent proposes to add a branch. This had the potential to affect all patients receiving Home Care Services at the agency. The census was 66. Findings include: On 10/07/21 at 11:45 A.M. an interview with the General Manager (GM) revealed the Home Health Agency (HHA) did not have any branches, but they did have fully staffed drop sites in Gallipolis and in Ironton. Further interview with the GM revealed the drop sites did have signage outside each site for advertising, and each site was open to the public for business. On 10/07/21 at 12:02 P.M. a review of the HHA marketing brochure revealed the Ironton and Gallipolis drop site were advertised as branch locations. An additional interview with the GM at that time revealed no medical records were available for review in the Gallipolis or Ironton locations because all medical records were kept at the parent location. Further interview with the GM confirmed both sites should be considered as branch locations. On 10/07/21 at 2:00 P.M. a visit was conducted at 116 Jackson Pike Gallipolis Ohio. Upon arrival observation confirmed signage was outside the location and identified the location to be a part of the agency business. Upon entry to the location an interview with Staff B revealed the GM was in charge of the branch activities, and the GM did come to this location at least one time every week. Further interview revealed no care was provided from the branch, but it was considered to be a part of the HHA business. The location was open to the public for job interviews and other HHA business. Further interview revealed the location has one full time (Staff B) and one part time staff member (Staff D) working at the branch. They were both identified as receptionists. On 10/12/21 at 8:15 A.M. a visit was conducted at 2615 South Third Street Ironton Ohio. Upon arrival signage was observed that identified the location as a part of the HHA business. An interview with Staff C, a receptionist, revealed he/she was the only staff at the location, but he/she did work full time at the location. Further interview with Staff C revealed Staff E, the Acting Administrator, was in charge of the location in Ironton and he/she did visit the location at least one time per week.