Audit Trail & Compliance Records

Compliance History

Track monitoring letters, CAPs, POCs, and audit findings. Build your compliance story since 2016.

10
๐Ÿ“ง Monitoring Events
34
๐Ÿ” Total Findings
28
โœ… Resolved
6
โš ๏ธ Open Items
Resolution/Closure Sep 5, 2025

DOH Offsite Follow-Up Survey - All Deficiencies Corrected

PA Department of Health

An offsite follow-up survey conducted on September 5, 2025 found that Silver Home Care had corrected the deficiencies cited under the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 611, Subpart H. Home Care Agencies and Home Care Registries.

The deficiencies were cited as a result of a re-licensure survey completed on September 20, 2024.

โœ… All deficiencies corrected
28 Pa. Code Chapter 611 Subpart H
Resolution/Closure Oct 23, 2024

DOH POC Approved - September 2024 Re-Licensure

PA DOH

All 5 Plans of Correction approved. System updates implemented - "eligible to start" date vs interview date. Care Coordinator position created.

5/5 POCs approved
Hiring Prerequisites PolicyCriminal Background Check PolicyTB Screening Policy +2 more
State Re-Licensure Survey Sep 20, 2024

DOH On-Site Re-Licensure Survey - September 2024

PA Department of Health

โœ… 28 Pa. Code Chapter 51, Subpart A - IN COMPLIANCE

โœ… 35 P.S. ยง448.809(b) Photo ID - IN COMPLIANCE

โŒ 28 Pa. Code Chapter 611, Subpart H - 5 FINDINGS

Findings Detail:

0200 ยง611.51(a) - Hiring Prerequisites: Interview date used as start date; 6/6 PFs missing reference documentation

0310 ยง611.52(b) - PATCH Criminal History: 3/6 PFs missing timely documentation

0330 ยง611.52(d) - Proof of Residency: 1/6 PFs (PF#4) missing 2-year residency proof

0600 ยง611.55(a) - Competency Requirements: 3/6 PFs missing pre-assignment competency exam documentation

0700 ยง611.56(a) - TB Health Screening: 4/6 PFs missing TB screening documentation upon hire

Root Cause (per POC):

"The agency was initially using the interview date as the start date instead of the actual first day the employee began working with clients."

5 findings 5/5 POCs approved 10/23/24
Hiring Prerequisites Policy Criminal Background Check Policy Competency Training Policy TB Screening Policy
Resolution/Closure Oct 23, 2022

UPMC CHC CAP Closure - October 2022

UPMC CHC

Final CAP closure after 12 months of monitoring. All 12 findings from 2021-2022 monitoring letters resolved. Final completion by 12/1/2022.

12/12 findings resolved
Returning Member Calls PolicyRecord Retention PolicyOvernight Awake Policy +9 more
State Survey Aug 6, 2020

UPMC CHC Limited Review - August 2020

UPMC CHC

28 Pa. Code Chapter 611 - Home Care Agencies

4 findings 4/4 resolved
Federal Criminal History Policy Competency Training Policy TB Screening Policy Photo ID Badge Policy
State Survey Aug 6, 2021

DOH On-Site Re-Licensure Survey - August 2021

PA DOH

28 Pa. Code Chapter 611 & 35 P.S. ยง448.809b (Photo ID)

Re-licensure survey identified 4 deficiencies related to criminal background checks, competency training, TB screening, and photo ID badges.

4 findings 4/4 resolved
Federal Criminal History Policy Competency Training Policy TB Screening Policy +1 more
Monitoring Letter Nov 15, 2021

UPMC CHC Monitoring Letter - November 2021

UPMC CHC

Quarterly review identified issues with returning member calls, record retention procedures, and overnight awake documentation.

6 findings 6/6 resolved
Returning Member Calls Policy Record Retention Policy Overnight Awake Policy +3 more
Monitoring Letter Jun 12, 2022

UPMC CHC Monitoring Letter - June 2022

UPMC CHC

Follow-up monitoring identified additional items requiring corrective action. Final items before CAP closure.

6 findings 6/6 resolved
Critical Incident Management Policy HIPAA Policy ADA Compliance Policy +3 more
QMET Monitoring Nov 18, 2019

QMET Regulatory Monitoring - November 2019

QMET

Quality Management Entity Team regulatory monitoring review. Focused on policy compliance and documentation requirements.

3 findings 3/3 resolved
Critical Incident Management Policy Non-Discrimination Policy HIPAA Policy
Monitoring Letter Mar 22, 2019

UPMC CHC Initial Monitoring - March 2019

UPMC CHC

Initial monitoring letter establishing baseline compliance review. Minor documentation improvements required.

2 findings 2/2 resolved
ADA Compliance Policy Non-Discrimination Policy