Every finding on record at Just for Kids Inc

During the Health Recertification survey commenced on 03/09/26 and concluded on 03/11/26 at Just For Kids, Inc., a Home Health Agency, Emergency Preparedness was reviewed. Just For Kids, Inc. is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.102, Condition of Participation for Home Health Agencies.

An unannounced Recertification survey was commenced on 03/09/26 and concluded on 03/11/26 at Just For Kids, Inc. The Home Health Agency was not in compliance with Code of Federal Regulations (CFR) 42 Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on observation, interview and record review, the provider failed to remove expired medication and supplement nutrition cans for 2 of 3 patients observed for medication review during home visits (Patient #1 and Patient # 4). The findings included: On 03/10/26 at 10:45 AM, a home visit was conducted at Patient # 4's group home with the Director of Nursing (DON). Patient # 4 was observed sitting in a wheelchair watching television. A review was conducted of the patient's medication alongside of the DON. Observation revealed a bottle of Vitamin D3 2000 IU (International Units) with an expiration date of 02/26 that was pulled from the medication cart. On 03/10/26 at 10:45 AM, during an interview, Staff A, Registered Nurse (RN), stated there was another bottle of Vitamin D3 in another medication cart and added that she put the pills from that bottle into the other bottle. An observation of the bottle of Vitamin D3 from the other medication cart revealed that bottle was also expired. The DON looked for another bottle of Vitamin D3 in the home and could not find another bottle. A review of the Physician's orders for Patient #4 revealed this was a current order. On 03/10/26 at 11:45 AM, a home visit was conducted for Patient #1 who was care for by Staff B, Licensed Practical Nurse (LPN). A review of the patient's Medication Administration Record (MAR) alongside of the Plan of Care was conducted with the DON. Observation of Patient #4's PediaSure (supplemental nutrition drink) cans were checked for expiration dates. The expiration date on the case of the cans sitting by the bed was January 2026. The can that was in a basket ready to be given to the patient had an expiration date of January 2026. On 03/10/26 t 11:50 AM, during an interview, Staff B stated she was not aware that the case of PediSure was expired. On 03/11/26 at 11:00 AM, during an interview, the DON was asked who was responsible for checking expiration dates on the medication and supplemental nutritional drinks and he stated it was the nurses and his responsibility.

Laboratory services/CLIA waivers CFR(s): 484.100(c)(1) Laboratory services. If the HHA engages in laboratory testing outside of the context of assisting an individual in self-administering a test with an appliance that has been cleared for that purpose by the Food and Drug Administration, the testing must be in compliance with all applicable requirements of part 493 of this chapter. The HHA may not substitute its equipment for a patient's equipment when assisting with self-administered tests. This STANDARD is not met as evidenced by: Based on interview, and record review, the Home Health Agency (HHA) failed to obtain a CLIA (Clinical Laboratory Improvement Amendment) certificate as required. The findings included: On 03/09/26 at 10:45 AM, during an interview, the Director of Operations was asked if the HHA does any laboratory testing and stated they have patients who need their blood sugar taken because they receive insulin. The Director of Operations was asked if the nurses take the patient's blood sugars or if the family takes the blood sugar. The Director of Operations stated the glucometer (machine to test blood sugar sample) belongs to the patient, but the nurses take the blood sugar test. The Director of Operations was asked for the HHA's CLIA certificate/Certificate of Waiver and stated he was not aware that the HHA needed that and did not have one.