Every finding on record at Summit Home Health Inc

The following reflects the findings of the California Department of Public Health, Licensing and Certification, during an investigation of a complaint. Complaint # - CA00719067 - Substantiated Representing the Department : HFEN - 39912 The inspection was limited to the specific complaint investigated and does not represent the findings of a full inspection of the facility.

Patients receive education and training CFR(s): 484.60(d)(5) Ensure that each patient, and his or her caregiver(s) where applicable, receive ongoing education and training provided by the HHA, as appropriate, regarding the care and services identified in the plan of care. The HHA must provide training, as necessary, to ensure a timely discharge. This ELEMENT is not met as evidenced by: Based on interview and record review the facility failed to ensure patients of the agency were educated on the protocol of electronic signature on home visit documents in one of one patient (Patient 1). This facility failure had the potential for electronic signature falsification affecting the verification and authenticity of the agency's staff home visits as ordered . Findings: Review of the agency's policy and procedure titled "Electronic Visit Verification (EVV)" undated, indicated in part "in addition to the EVV system tracking client's service delivery, the agency shall: a. obtain client certification of delivery by electronic signature on an electronic device. A client signature or certification may be any gesture or character transcribed by client on the electronic device including but not limited to: Signature, printed full name, X, line, dots, or any gestures transcribed on the electronic device done by the client at the time of visit ... All staff that are assigned to deliver services in a clients home shall be be checked to ensure they know: ... c. how to obtain client signature" During a review of the clinical record for Patient 1 on 1/29/2021, the in house communication notes dated 10/28/20 was not signed by the patient or caregiver. The home visit notes dated 8/20/20, 9/7/20, 9/9/20, and 9/13/20 were signed with different strokes, and all different from each signature. During an interview on 1/29/2021 at 8:47 AM, Patient 1 indicated not recognizing the signatures on the visitation documents and claimed not signing the said documents at all. Patient 1 further indicated this caused her anxiety looking at the signatures that are not hers. During an interview on 2/23/2021 at 2:12 PM, the registered nurse (RN) indicated patient's signatures are also obtained via mobile phone and patient's signature was obtained via mobile phone.The RN confirmed not explaining to Patient 1 the agency's electronic signature process. The RN had no comment regarding the patient's allegation of not owning the signatures on the home visitation notes.