Every finding on record at Ahpc Orange County, Inc.

Upon patient record review, 16 of 16 (Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16) did not have evidence that the plan of care included IDG's documentation of the patient's or families level of understanding, involvement and agreement with the plan of care. Patients 1-16 did not address the IDG's documentation of the patient's or families level of understanding, involvement and agreement with the plan of care. There was documentation in SN visit note narratives and MSW visit note narratives, however; there was no evidence of the IDG documentation stated on the plan of care and/or IDG meeting notes.

Upon patient record review, 1 of 16 (Patient #3) did not have evidence in the patient record that the interdisciplinary group, as part of the review of the plan of care, determines the ability of the patient and/or family to safely self-administer drugs and biologicals to the patient in his or her home. If the patient and/or family are not capable of safely administering drugs and biologicals in the home, the hospice must address this issue in the patient's plan of care. Patient 3 did not show evidence of the following: The interdisciplinary group, as part of the review of the plan of care, must determine the ability of the patient and/or family to safely self-administer drugs and biologicals to the patient in his or her home.

Upon personnel record review, 3 of 12 (Personnel #6,7,8 ) did not have evidence the hospice obtained a criminal background check on all contracted individuals who have direct patient care and access to patient records. Personnel 6,7,8 contracted PT, OT, SLP only had evidence of reports from the National Practitioner Data Base for Healthcare workers (NPBD) which does states it "does not include all convictions/ crimes" and states "it is suggested to do a National Sex Offender Search for sexual offenses not pertaining to a violation in healthcare setting".