- Office Hours Monday through Friday 8:30am –5:00pm
- Mail: 1467 Hark A way Rd, Chester Springs, PA 19425
- Phone #: 610-453-5005
- Email: Cathy@HCBSprovider.com
- Fax #: 610-827-7923
- Website: HCBSprovider.com
- Emergency Line 610-453-5005 Or 9-1-1
- Client health and safety comes first. Do not hesitate to call 911
- Suicide and Crisis Lifeline 9-8-8
For true emergencies (after business hours), call 911. If you are unable to provide services to your client (for emergency services or the next day) please call 610-453-5005 or 911. Please be courteous and call at reasonable times. No calls between 11 pm and 5:45 am unless it is a true emergency.
Our Behavioral Specialist Consultants (BSCs) do not provide emergency services. BSCs do make every effort to respond to crisis situations as soon as possible. Refer to the client’s ISP and contact the Supports Coordinator. Utilize county crisis mental health resources.
CRISIS MENTAL HEALTH RESOURCES
CHESTER COUNTY: Telephone Crisis Counseling, Mobile Outreach Services, Available 24/7
Valley Creek Crisis Center: 610-280-3270 or 610-918-2100 Toll Free 1-877-918-2100
Chester County Consumer-run Warm Line 866-846-2722
Offers peer support or information about mental health services. Staffed by trained, paid mental health peer specialists. Toll free. Monday-Friday from 2-8pm, Sat-Sun from noon to 6 pm.
- MONTGOMERY COUNTY: 24 hour/7 Day a week Hotline 610-279-6100
- DELAWARE COUNTY: mobile crisis team 1-855-889-7827
- BERKS COUNTY: immediate crisis intervention services 610-236-0530
- PHILADELPHIA COUNTY: 24-hour Mental Health Delegate Line 215-685-6440
We are an approved provider by the Department of Human Services (DHS) in the commonwealth of Pennsylvania, qualified by the Office of Developmental Programs (ODP). We are subject to 55 PA codes 51 and 52 rules and regulations. Provider Qualifications and verifications requirements are continuously updated. We also are governed by Federal, State, and local requirements. HCBS must meet applicable waiver amendments, have valid MA provider agreements, and be monitored by Departments regularly but guaranteed every two years. HCBS is a referral agency providing Home & Community Services including In-Home & Community Supports (regular and enhanced), Community Participation Supports, Companion, Behavioral Services, Respite (short-term and overnight), and Supported Employment Services. Our licensure and certification are integral to our success.
WELCOME DIRECT SUPPORT PROFESSIONALS
Welcome to the HCBS family! We are delighted that you have decided to register and join our team! Direct Support Professionals (DSP work directly with people who have Developmental or Intellectual Disabilities (IDD). DSPs aim to assist individuals in discovering their full potential. Through their services, they help others become engaged and integrated into their communities, helping them learn how to maneuver through the world. The job for a DSP can be filled with long hours and challenging responsibilities, but the work you perform is crucial to the individuals you serve on a daily basis.
DSP CODE OF ETHICS
National Alliance for Direct Support Professionals Foundation, Inc.
Person Centered Supports: As a DSP, my first allegiance is to the person I support; all other activities and functions I perform from this allegiance.
Promoting Physical and Emotional Well-Being: As DSP, I will commit to promoting the emotional, physical, and personal well-being of the people I support I will encourage growth and recognize the autonomy of those receiving support while being attentive and energetic in reducing the risk of harm.
Integrity and Responsibility: As a DSP, I will support the mission and vitality of my profession to assist people in leading self-directed lives and to foster a spirit of partnership with the people I support, other professionals, and the community.
Confidentiality: As a DSP, I will safeguard and respect the confidentiality and privacy of the people I support.
Justice, Fairness and Equity: As a DSP, I will affirm the human rights as well as the civil rights and responsibilities of the people I support. I will promote and practice justice, fairness, and equity for the people I support and the community as a whole.
Respect: As a DSP, I will respect the human dignity and uniqueness of the people I support. I will recognize each person who I support as valuable and promote their value to our communities.
Relationships: As a DSP, I will assist the people I support to develop and maintain relationships.
Self Determination: As a DSP, I will support the people I assist to direct the course of their own lives.
Advocacy: As a DSP, I will advocate with the people I support for justice, inclusion, inclusion, and full participation.
CONDUCT of DSPs and BSCs
HCBSP Expects DSPs and BSCs to follow rules of conduct that will protect the interest and safety of everyone involved and the company. It is not possible to list all the forms of behavior that are considered acceptable in providing services. The following is a list of infractions that could lead to termination:
- Theft or inappropriate removal or possession of property
- Falsification of timekeeping records
- Working under the influence of alcohol or illegal drugs
- Possession, distribution, sale, transfer, or use of alcohol or illegal drugs while providing services or operating employer-owned vehicles or equipment.
- Fighting or threatening violence while providing services
- Negligence or improper conduct, leading to damage of client or company property
- Negligence due to unauthorized use of cell phones or air pods
- Insubordination or other disrespectful conduct.
- Violation of safety or health rules
- Smoking in prohibited areas
- Sexual or other unlawful or unwelcome harassment
- Possession of dangerous or unauthorized materials, such as explosives or explosives or firearms while providing services.
- Excessive pattern of not providing services you agreed to or any absence without notice.
- Expired or suspended driver’s license
- Unauthorized use of telephones, mail system, or other company-owned equipment
Registration with Home Community Base Services Provider, Inc. is at the mutual consent of HCBSP, and the DSP or BSC, and either party may terminate their engagement at any time, with or without cause, and with or without advance notice.
HCBS is a referral Provider. Registering with HCBS is not a guarantee that opportunities to serve clients will be available and/or located. All professionals contracting through HCBS are classified and compensated as self-employed independent contractors.
You are an independent contractor, meaning you are self-employed and not an employee of HCBS. Being a 1099 independent contractor means you are self-employed and will receive 1099 compensation for your services. As an independent contractor, it is your decision to accept, decline or resign from a position offered to you. You are responsible for your own tax deductions and benefits. HCBS will not deduct any payroll taxes such as those for Social Security, FICA, FUTA, SDI, Medicare, etc. As an independent contractor, HCBS does not provide any benefits such as healthcare insurance, tuition reimbursement, paid vacation days, or sick leave, unemployment compensation. For detailed information on how to file taxes as an independent contractor, please speak with a qualified tax accountant, tax attorney or visit the Internal Revenue Service at: www.irs.gov/individuals/Self-Employed. If you still have materials to submit, please note that we cannot refer you to a client until those documents have been received by HCBS. You can find the necessary documents on our website at www.hcbsprovider.com.
What We Do: Home and Community Base Services
We specialize in providing professional in-home care for individuals with special needs and who are not ready to leave their homes for an assisted living facility, nursing home, or other living situations. We provide our clients with In-Home & Community Supports (regular and enhanced), Community Participation Supports, Companion, Behavioral Services, Respite (short-term and overnight), and Supported Employment. Services may include Assistance with Daily Living: personal grooming and hygiene, dressing, making meals, maintaining a clean-living environment, and laundry. Healthy lifestyle services may include assistance with nutritious meal planning, regular exercise, working on prescribed therapies/exercises, medical care, mental health care, and communication/social skills. Financial Management services may include assistance with managing personal resources, general banking, balancing accounts, and record-keeping services may include assistance with safely accessing community settings and developing personal interests. These services provide social interaction to reduce isolation and improve the quality of their life. HCBS may actively promote and track an individual’s health care appointments, screenings, and follow-ups are completed as prescribed.
Our Behavioral Services Unit is directed by a certified behavioral analyst (BCBA) who supervises our Behavioral Specialist Consultants. This service enhances the development, abilities, and choices for individuals with various kinds of disabilities. Service includes a comprehensive assessment and the provision of interventions and training to individuals, staff, parents, and caregivers. Dual Diagnosis: If an MH diagnosis is listed in the ISP for the individual, HCBS will support the team to ensure all needs of the individual are being met as specified in the ISP. We will collaborate with the assigned Supports Coordinator to obtain appropriate MH service(s) for those we serve.
WHO NEEDS OUR SERVICES
As the population begins to age out of school and gets older, there is an increased number of people every day that can benefit from our services. Many people do not understand that there is an alternative to moving out of their home into an assisted living facility, nursing home or some other institution. In fact, most people want to remain at home for as long as possible. We can help!
SERVICES FOR DEAF INDIVIDUALS
In accordance with the ODP bulletin 00-14-04, DSPs and BSCs must provide any communication assistance deemed necessary by the ISP for a deaf client. If HCBS has difficulty fulfilling this need, they may contact the ODP Deaf Services Coordinator.
Department’s training on Deaf Culture
- The unique needs of this population
- Department’s expectations of the Provider with respect to the provision of effective communication
- How to document the signing skills of staff and/or other components of service related to effective communication identified in a class member’s ISP
- When and how to contact the Deaf Services Coordinator
A certificate of completion for the ODP Training entitled “ODP Deaf Services for Provider Administrators and Agencies” can substitute the required training listed above.
HCBSP believes that every individual has a right to choose their own path and goals to achieve a meaningful life; we promise to provide professional and dedicated support so individuals can make their dreams and hope a reality. This might include living more independently, learning new skills, or developing positive relationships within their community. We are committed to promoting physical and mental health wellness resources and sharing information with individuals and families via our website. Individuals’ healthcare appointments, screenings, and follow-ups are completed as prescribed.
We are guided by the principles detailed in ODP’s initiative:
EVERYDAY LIVES – VALUES IN ACTION
- We value what is important to people with disabilities and their families who are striving for everyday life. Everyday life is about opportunities, relationships, rights, and responsibilities. It is about being a community member, having a valued role, contributing to society, and having one’s rights as a citizen fully respected. It is a vision that we should all be working toward together.
- People with disabilities have a right to an everyday life that is no different than that of all other citizens.
Our mission is to ensure a better quality of life for our clients and their families, by providing dependable and responsive care. We are a trusted and respected organization that takes a responsible role in our clients and their families, our Direct Support Professionals, and our community. Our unique model as a referral resource enhances our ability to offer exceptional in-home and community services.
CLIENT NONDISCRIMINATION POLICY
HCBS does not discriminate based on race, color, national origin, religious creed, ancestry, sex, age or disability. HCBS provides services to clients, regardless of handicap, and referrals are made private. We strictly comply with all HIPPA regulations and maintain Protected Health Information.
CLIENT BILL OF RIGHTS
As a client of Home Community Base Services, you have the right to:
- Be fully informed of all your rights and responsibilities.
- Be informed about the plan for services and be involved in the development of your plan.
- Be advised of any change in the services before the change is made.
- Accept or refuse services.
- Be fully informed of company policies and changes for services, including eligibility for third party reimbursements.
- Be informed of the contact numbers of supervisory personnel.
- Be informed of complaint procedures.
- Privacy, including confidential treatment of records and to refuse the release of records to any individual outside the company except in the case of the client’s transfer to a health care facility or as required by law or third-party payment contracts.
- Have property and residence treated with respect.
- Receive a timely response from the company to your request for service.
- Written notice of the contact information for the state licensing authority.
- Responsibility of the client and or party responsible for informing the provider of any change in the client’s condition.
- Voice grievances and suggest changes in service or staff without fear of recrimination or discrimination.
- Be informed of what to do in an emergency.
- Pursue personal relationships and your sexuality and experience a life that is no different than that of individuals without disabilities, without being neglected, exploited, or abused.
- Be actively supported with the transition If you choose to pursue this, be actively supported with the transition to competitive, integrated employment.
- Access to food while receiving our services, in accordance with any prescribed dietary health recommendations.
- Update your choices about activities that become important to you.
- Receive services in a variety of integrated service locations.
- Receive information about victim’s assistance services and support to access those services.
- Inform the office of any major changes in your health status or condition.
- Cooperate with personnel without discrimination, as to color, religion, sex, national or ethnic origin.
- Make a family member or substitute available, who will assume a primary caregiver role when staff is not in your home.
- Give relevant information to HCBS about your care needs.
- Build mutual trust and cooperation with your Direct Support Professional and/or Behavioral Specialist Consultant
To provide equal employment and advancement opportunities to all individuals, employment decisions at HCBS will be based on merit, qualifications, and abilities. HCBS does not discriminate against opportunities or practices based on race, color, religion, sex, national origin, age, or any other characteristic protected by law. This policy governs all aspects of employment, including selection, job assignment, compensation, discipline, termination, and access to benefits. Any caregivers with questions or concerns about any type of discrimination in the workplace are encouraged to bring these issues to the administration.
We do not discriminate on the basis of race, color, national origin, religious creed, ancestry, sex, age or disability, as used in Title VI and Title VII of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, The Age of Discrimination Act of 1975, Americans With Disabilities Act of 1990 and/or the Pennsylvania Human Relations Act of 1955, as amended. Reasonable accommodation will be provided for special needs employees. Complaints can be written and filed with the Office of Equal Opportunity www.eeoc.gov phone #: 1800-669-4000, Pennsylvania Department of Health 717-783-1379, and/or the Pennsylvania Human Relations Commission 717-787-4410 717-787-4087 TTY
BUSINESS ETHIC’S AND CONDUCT
Home Base Community Services’ reputation is built upon the principles of fair dealing and ethical conduct of our DSPs and BSCs. Our reputation for providing excellent customer experience requires stringent adherence to federal, local, and state laws and the ethical conduct of our administrative staff and DSPs. The success of HCBS depends on our client’s trust, and we are dedicated to preserving it. If a situation arises where it is difficult to determine the proper course of action, the matter should be discussed openly with your immediate supervisor and, if necessary, with the owner for advice and consultation. Compliance with this policy of business ethics and conduct is the responsibility of every Direct Support Professional and Administrative staff.
RECORD ACCESS AND RETENTION
Our provider records for home and community-based services are retained pertaining to and in accordance with the Government Auditing Standards (GAGAS), also known as the Yellow Book. In our instance, we are subject to OMB Circular A-133 (Single Audit), Title 45, CFR 74.26 (federal guidance regarding audit requirements of for-profit entities), and any other federal requirements. Therefore, we keep electronic and paper records for 7 years per United States Internal Revenue requirements. Chapter 51.15. The use or disclosure of records outside of the implementation of the client’s ISP is prohibited. DSPs and BSCs must receive permission to view any documents or reports that pertain to the client.
IMMIGRATION LAW AND COMPLIANCE
Home Base Community Services is committed to working exclusively with United States citizens and resident aliens who are authorized to work in the United States and does not unlawfully discriminate based on citizenship or national origin. In compliance with the Immigration
Reform and Control Act of 1986, each new DSP and BSC, as a condition of registration with HCBS, must present documentation establishing identity and U.S. citizenship or resident alien status. Former DSPs and BSCs must also provide this documentation.
CONFLICTS OF INTEREST
These guidelines provide general direction so DSPs and BSCs can seek more clarification on issues related to acceptable operating standards. Contact the office for more information or questions about conflicts of interest. A conflict of interest can occur when a DSP or BSC is in a position to influence a decision that may result in personal gain for that DSP or BSC or for a relative because of Home Base Community Services business dealings. For this policy’s purposes, a relative is anyone related by blood or marriage or whose relationship with the DSP or BSC is similar to that of persons who are related by blood or marriage. No “presumption of guilt” is created by the mere existence of a relationship with outside clients or care firms. However, if DSPs or BSCs have any influence on transactions involving care agreements, it is imperative that they disclose to the office as soon as possible. All time worked for the client must be put on time sheet. DSPs and BSCs must notify the office if the client offer them gifts-monetary or otherwise.
DSPs and BSCs are specifically prohibited from making private arrangements with us or providing care independently to any client during their employment with HCBS and for one year after leaving the employment off HCBS. Any violation of this policy will result in the DSPs’ or BSCs ‘financial liability to HCBS. In accordance with the competition agreement signed at hire. The minimum penalty is $1,000. The protocol to take when a provider meets a conflict of interest addresses unbiased decision-making by administration and staff, no involvement of board members with provider agencies that are not in accordance with ethical standards of financial and professional conduct, documented procedures to determine whether a conflict of interest exists within the organization. The procedure to take includes reviewing the conflict by the administration, interviewing of members in the conflict, whether it be retraining, redirecting a DSP or BSC to another client, or redirecting a client to another provider,
The protection of confidential business information and trade secrets is vital to the interest and the success of Home Community Base Services Provider, Inc. Such confidential information includes, but is not limited to, the following examples:
- Pending services and proposals
- Referral source list
- Compensation data
- Computer processes
- Computer programs and codes
- Client list
- Client preferences
- Financial information
- Labor relations strategies
- Marketing strategies
DSPs and BSCs who improperly use or disclose trade secrets or confidential business information will be subject to disciplinary action, up to and including termination of employment and legal action, even if they do not actually benefit from the disclosed information.
HCBSP is committed to complying fully with the Americans with Disabilities Act (ADA) and ensuring equal opportunity in registering qualified persons with disabilities. All registration practices and activities are conducted on a non-discriminatory basis. Registration procedures have been reviewed, providing persons with disabilities meaningful opportunities to provide services. Registration inquiries are made only regarding an applicant’s ability to perform the services they will be required to perform for clients. Reasonable accommodations will be made for all disabled DSPs and BSCs in accordance with the law. Qualified individuals with disabilities are entitled to equal opportunity for referral of clients. HCBS is also committed to not discriminating against any qualified DSPs or BSCs because they are related to or associated with a person with a disability. HCBS will follow any state or local law that provides individuals with disabilities greater protection than the ADA. This policy is neither exhaustive nor exclusive. HCBS is committed to taking all other actions necessary to ensure equal opportunities for persons with disabilities in accordance with ADA and all other applicable federal, state, and local laws.
PERSONAL DATA CHANGES
Each DSP and BSC must promptly notify HCBS of any personal data changes. Personal mailing addresses, telephone numbers, number and names of dependents, individuals to be contacted in emergencies, educational accomplishments, and other status reports should always be accurate and current. If any personnel data has changed, notify the office.
Termination of a Contract is an inevitable part of personnel activity within any organization, and many of the reasons for termination are routine. Below are examples of some of the most common circumstances under which employment is terminated:
- Resignation- voluntary employment termination initiated by a caregiver
- Discharge- involuntary contract termination initiated by the company. Since the contractual agreement with HCBS is based on mutual consent, both the caregiver and HCBS have the right to terminate the contract at will, with or without cause, at any time. DSPs and BSCs will receive their final pay in accordance with applicable state law.
- For the consideration of our clients, two weeks’ notice is recommended.
HCBS is committed to providing a safe, efficient, and productive work environment for all clients, DSPs, and BSCs. Using or being under the influence of drugs or alcohol while performing services for a client or traveling to or from a client’s location may pose serious health and safety risks. The unlawful manufacturing, distribution, dispensation, possession, or use of a controlled substance is prohibited in our workplace. DSPs and BSCs who violate this policy will be subject to discipline up to and including their contract’s termination.
SEXUAL AND UNLAWFUL HARRASSMENT
HCBS is committed to providing a work environment that is free from all forms of discrimination and conduct that can be considered harassing, coercive, or disruptive, including sexual harassment. Actions, words, jokes, or comments based on an individual’s sex, race, color, national origin, age, religion, disability, sexual orientation, or any other legally protected characteristic will not be tolerated. Sexual harassment is defined as unwanted sexual advances, or visual, verbal, or physical conduct of a sexual nature. This definition includes many forms of offensive behavior and includes gender-based harassment of a person of the same sex as the harasser. The following is a partial list of sexual harassment examples:
- Unwanted sexual advances.
- Offering employment benefits in exchange for sexual favors.
- Making or threatening reprisals after a negative response to sexual advances.
- Visual conduct that includes leering, making sexual gestures, or displaying of sexually suggestive objects or pictures, cartoons or posters.
- Verbal conduct that includes making or using derogatory comments, epithets, slurs, or jokes.
- Verbal sexual advances or propositions.
- Verbal abuse of a sexual nature, graphic verbal commentaries about an individual’s body, sexually degrading words used to describe an individual, or suggestive or obscene letters, notes, or invitations.
- Physical conduct that includes touching, assaulting, or impeding or blocking movements.
Unwelcomed sexual advances (either verbal or physical), requests for sexual favors, and other verbal or physical conduct of a sexual nature constitute sexual harassment when:
- Submission to such conduct is made either explicitly or implicitly a term or condition of employment
- Submission or rejection of the conduct is used as a basis for making employment decisions
- The conduct has the purpose or effect of interfering with work performance or creating an intimidating, hostile, or offensive work environment.
If you experience or witness sexual or other unlawful harassment in the workplace, report it immediately to your supervisor. If the supervisor is unavailable or you believe it would be inappropriate to contact that person, you should immediately contact the office. You can raise concerns and make reports without fear of reprisal or retaliation. All allegations of sexual harassment will be quickly and discreetly investigated. To the extent possible, your confidentiality and that of any witnesses and the alleged harasser will be protected against unnecessary disclosure. When the investigation is completed, you will be informed of the outcome of the investigation. Any caregiver who becomes aware of possible sexual or other unlawful harassment must immediately advise the office so it can be investigated in a timely and confidential manner. Anyone engaging in sexual or other unlawful harassment will be subject to disciplinary action, up to and including termination of employment.
The purpose of this policy is to state HCBS’s position on administering equitable and consistent discipline for unsatisfactory conduct in the workplace. The best disciplinary measure is the one that does not have to be enforced and comes from good leadership and fair supervision at all employment levels. HSBS’ own best interest lies in ensuring fair treatment of all caregivers and in making certain that disciplinary actions are prompt, uniform, and impartial. The major purpose of any disciplinary action is to correct the problem, prevent recurrence, and prepare the caregiver for satisfactory services in the future. Although employment with HCBS is based on mutual consent and both the caregiver and HCBS have the right to terminate employment at will, with or without cause or advance notice, HCBS may use progressive discipline at its discretion. Disciplinary action may call for any of four steps- verbal warning, written warning, suspension with our without pay, or termination of employment-depending on the severity of the problem and the number of occurrences. There may be circumstances when one or more steps are bypassed. Progressive discipline means that, with respect to most disciplinary problems, these steps will normally be followed:
- A first offense may call for a verbal warning
- A second offense may be followed by a written warning
- A third offense may lead to a probation
- A Forth offense may then lead to termination of employment
Qualified, well-trained DSPs and BSCs are critical for the success of the company and the provision of ethical services to the individuals in our care. Therefore, we offer annual training mandated by the Department of Human Services and required for DSPs and BSCs to provide services for clients. Training will be offered approximately four times during the fiscal year.
Currently, DHS and ODP mandate annual training in on preventing, recognizing, reporting and responding to incidents and assuring a participant is safe, pursuant to 55 pa Code Chapter 51 section 51.17(k). In addition, we offer training on:
- Policy on intellectual disability and values
- Training to meet the needs of a participant in the ISP
- QM Plan
- 24 mandatory online module training
- Identification and prevention of abuse, neglect and exploitation of a participant
- Recognizing, reporting and investigating an incident
- Participant grievance resolution
- Accurate billing and documentation of HCBS delivery
- Training on the Provider’s Emergency Disaster Response plan that addresses individual’s safety and protection, communication and or operational procedures.
- Consumer control and independent living philosophy
- Instrumental activities of daily living
- Recognizing changes in the consumer that need to be addressed
- Basic infection control
- Universal precautions
- Dealing with difficult behaviors
- Back up plans for individuals, based on their ISP
Certain topics can be fulfilled by other agencies, but proof of training is required by the state. A certificate is required with participant’s name, topic, dates of training and agency that provided the training.
While HCBS will make every effort to locate a backup staff member in the event the primary staff member, cannot fill their shift, this cannot be guaranteed. HCBS asks all staff members to provide the family, consumer, and the agency with a minimum of 24 hours’ notice unless there is an extreme emergency prior to canceling services. However, HCBS cannot guarantee replacement staff even with ample notice. Additionally, HCBS will only provide backup staff when doing so will be clinically beneficial. For example, a staff member who is not trained on a consumer’s support plan will not be used as a backup staff for that consumer, regardless of his/her availability. In cases where a clinical specialist is assigned to the consumer, the clinical specialist may serve as primary back-up. If he or she is unavailable, staff will arrange to reschedule services with the family/consumer if the family/consumer chooses.
No alcoholic beverages are allowed at any HCBS training or job assignments. Additionally, no smoking is allowed at any client’s venue or inside the Office. Everyone’s cooperation with these important health and safety requirements is appreciated.
It is the intent of Home Base Community Services that a strict alcohol prohibition be observed by all people associated with any activities or events which involves our clients. Offenders of the alcohol policy will immediately be sent home from the event and will be suspended for a minimum of one year; additionally, a $500 fine may be levied on the individual. Please realize that these measures are taken to emphasize the importance of everyone’s role in the safety of HCBS provider’s participants.
Since it is impossible to describe every circumstance that might arise, it is expected that everyone, where necessary, will exercise responsible and prudent judgment, keeping in mind the basic intent of this policy.
It is HCBS’ policy that the relationship between DSPs and BSCs and clients be professional for the safety of all participants and that dating or having a sexual relationship with any client appears impropriety. If a DSP or BSC desires a personal relationship with a client or a member of a client’s household, the DSP or BSC should immediately disclose this to HCBS. At that point, HCBS shall determine if it is appropriate to terminate the relationship between HCBS and the DSP or BSC.
HCBS Provider respects the rights of clients to have the full range of human relationships available to other human beings. This policy shall not be interpreted as a limitation on the rights of clients.
TRANSPORTING INJURED/SICK PERSONS
If an injured or sick person needs medical treatment as a result of an injury sustained or becoming sick while a DSP or BSC is providing services, it is the recommendation of HCBS that transportation of the sick or injured person is handled by a professional ambulance service. Do not attempt to move or treat the client. Contact the nearest medical personnel immediately. Contact 9-1-1 for emergency medical services. Inform the HCBS administrative staff and client/family/SC/team as soon as possible
All staff is required to give two weeks’ notice of vacation so ample time is to find substitute staff for adequate time to find for client.
Our agency policy uses positive practices rather than using negative consequences or punishment to stop behaviors. All staff members are knowledgeable about the use of positive practices specific to the individual they support and demonstrate them when needed. Every attempt shall be made to anticipate and de-escalate the behavior using methods of intervention written in the behavioral plan. In accordance with MR Bulletin #00-06-09 Emergency situations in which the client’s behavior is life-threatening or otherwise extremely violent, staff observing the behavior are e required to take immediate, appropriate action to protect the health and safety of an individual and only then. Home Base Community Services do not use any forms of seclusion.
DSPs and BSCs shall be familiar with how to handle incidents involving clients required to be reported under applicable Commonwealth of Pennsylvania regulations for the Department of Human Services. The prevention, reporting, notification, investigation and management of critical incidents. Reporting the incident: All incidents are to be reported to Jennifer Shaffer or Jarrell Brazzle IMMEDIATELY. It is a MANDATORY requirement that all incidents are reported within 24 hours. Incident report forms can be found on our website under the STAFF ONLY tab or at https://hcbsprovider.com/incident-report
*Abuse. – The allegation or actual occurrence of the infliction of injury, unreasonable confinement, intimidation, punishment, mental anguish, sexual abuse or exploitation. Abuse is reported on from the victim’s perspective, not on the person committing the abuse. This includes physical abuse, psychological abuse, sexual abuse, verbal abuse, and improper or unauthorized use of restraint. Physical abuse is defined as an intentional physical act by staff or other person which causes or may cause physical injury to an individual, such as striking or kicking, applying noxious or potentially harmful substances or conditions to an individual. Psychological abuse is an act, other than verbal, which may inflict emotional harm, invoke fear and/or humiliate, intimidate, degrade or demean an individual. Sexual abuse is an act or attempted acts such as rape, incest, sexual molestation, sexual exploitation or sexual harassment and inappropriate or unwanted touching of an individual by another. Any sexual contact between a staff person and an individual is abuse. Verbal abuse involves verbalizations that inflict or may inflict emotional harm, invoke fear and/or humiliate, intimidate, degrade or demean an individual. Improper or unauthorized use of restraint is a restraint not approved in the individual support plan or one that is not a part of an agency’s emergency restraint procedure is considered unauthorized. A restraint that is intentionally applied incorrectly is considered an improper use of restraint.
*Death. – All deaths are reportable.
*Disease Reportable to the Department of Health – An occurrence of a disease on The Pennsylvania Department of Health List of Reportable Diseases. The current list can be found at the Department of Health’s website, www.health.state.pa.us. An incident report is required only when the reportable disease is initially diagnosed.
*Emergency closure. – An unplanned situation that results in the closure of a home or program facility for one or more days. This category does not apply to individuals who reside in their own home or the home of a family member. (This may be reported as a site report.)
*Emergency room visit. – The use of a hospital emergency room. This includes situations that are clearly “emergencies” as well as those when an individual is directed to an emergency room in lieu of a visit to the Primary Care Physician (PCP) or as the result of a visit to the PCP. The use of an emergency room by an individual’s PCP, in place of the physician’s office, is not reportable.
*Fire. – A situation that requires the active involvement of fire personnel, i.e. extinguishing a fire, clearing smoke from the premises, responding to a false alarm, and the like. Situations which
require the evacuation of a facility in response to suspected or actual gas leaks and/or carbon monoxide alarms, or both, are reportable. Situations in which staff extinguishes small fires without the involvement of fire personnel are reportable. This may be reported as a site report.
*Hospitalization. – An inpatient admission to an acute care facility for purposes of treatment. Scheduled treatment of medical conditions on an outpatient basis is not reportable.
*Individual-to-individual abuse. – An interaction between one individual receiving services and another individual receiving services resulting in an allegation or actual occurrence of the infliction of injury, unreasonable confinement, intimidation, punishment, mental anguish, sexual abuse or exploitation. Individual Abuse is reported on from the victim’s perspective, not on the person committing the abuse.
*Injury requiring treatment beyond first aid. – Any injury that requires the provision of medical treatment beyond that traditionally considered first aid. First aid includes assessing a condition, cleaning an injury, applying topical medications, applying a Band-Aid, and the like. Treatment beyond first aid includes but is not limited to lifesaving interventions such as CPR or use of the Heimlich maneuver, wound closure by a medical professional, casting or otherwise immobilizing a limb. Evaluation/assessment of an injury by
Emergency personnel in response to a “911” call is reportable even if the individual is not transported to an emergency room.
*Law enforcement activity. – The involvement of law enforcement personnel is reportable in the following situations:
(i) An individual is charged with a crime or is the subject of a police investigation
which may lead to criminal charges.
(ii) An individual is the victim of a crime, including crimes against the person or their property.
(iii) A crime such as vandalism, or break-in that occurs at a provider site. This may be reported as a site report.
(iv) An on-duty employee or an employee who is volunteering during off duty time, who is charged with an offense, a crime or is the subject of an investigation while on duty or volunteering. This is reported as a site report.
(v) A volunteer who is charged with an offense, a crime or is the subject of an investigation resulting from actions or behaviors that occurred while volunteering. This is reported as a site report.
(vi) A crisis intervention involving police/law enforcement personnel.
(vii) A citation given to an agency staff person for a moving violation while operating an agency vehicle, or while transporting individuals in a private vehicle, is reported as a site report.
*Missing person. – A person is considered missing when they are out of contact with staff for more than 24 hours without prior arrangement or if they are in immediate jeopardy when missing for any period of time. A person may be considered in “immediate jeopardy” based on the person’s personal history and may be considered “missing” before 24 hours elapse. Additionally, it is considered a reportable incident whenever the police are contacted about an individual and/or the police independently find and return
the individual, or both, regardless of the amount of time the person was missing.
*Misuse of funds– An intentional act or course of conduct, which results in the loss or misuse of an individual’s money or personal property. Requiring an individual to pay for an item or service that is normally provided as part of the individual support plan is considered financial exploitation and is reportable as a misuse of funds. Requiring an individual to pay for items that are intended for use by several individuals is also considered financial exploitation. Individuals may voluntarily make joint purchases with other individuals of items that benefit the household.
*Neglect. – The failure to obtain or provide the needed services and supports defined as necessary or otherwise required by law or regulation. This includes the failure to provide needed care such as shelter, food, clothing, personal hygiene, medical care, protection from health and safety hazards, attention and supervision, including leaving individuals unattended and other basic treatment and necessities needed for development of physical, intellectual and emotional capacity and wellbeing. This includes acts that are intentional or unintentional regardless of the obvious occurrence of harm.
*Psychiatric hospitalization. – An inpatient admission to a psychiatric facility, including crisis facilities and the psychiatric departments of acute care hospitals, for the purpose of evaluation and/or treatment, or both, whether voluntary or involuntary. This includes admissions for “23 hour” observation and those for the review and/or adjustment, or both, of medications prescribed for the treatment of psychiatric symptoms or for the control of challenging behaviors.
*Rights violation. – An act which is intended to improperly restrict or deny the human or civil rights of an individual including those rights which are specifically mandated under applicable regulations. Examples include but are not limited to, the unauthorized removal of personal property, refusal of access to the telephone, privacy violations, and breach of confidentiality. This does not include restrictions that are imposed by court order or consistent with a waiver of licensing regulations.
*Suicide attempt. – The intentional and voluntary attempt to take one’s own life. A suicide attempt is limited to the actual occurrence of an act and does not include suicidal threats.
The following incident categories are reported using standardized abbreviated HCSIS incident management data entry screens designed to gather relevant data about these incidents. Data must be input within 72 hours of the recognition or discovery of the event:
*Medication error – Any nonconforming practice with the “Rights of Medication Administration” as described in the ODP Medication Administration Training Course. This includes omission, wrong dose, wrong time, wrong person, wrong medication, wrong route, wrong position, wrong technique/method and wrong form.
*Restraints – Any physical, chemical or mechanical intervention used to control acute, episodic behavior that restricts the movement or function of the individual or portion of the individual’s body, including those that are approved as part of an individual support plan or those used on an emergency basis. Improper or unauthorized use of restraint is considered abuse and is to be reported under the abuse category.