First Choice Home Health Care

It was identified that the agency failed to maintain an EPP that was reviewed and updated every two years.

The agency's emergency preparedness plan (EPP) failed to review and update the all-hazard approach to include emerging infectious disease threats.

The agency failed to have evidence that the policies and procedures for the risk assessments and communication plan were reviewed and updated at least every 2 years.

The agency failed to have evidence of policies and procedures to inform State and local officials of any on-duty staff they are unable to contact within a specific timeframe.

The agency failed to maintain documentation of a training and testing program based on the agency's risk assessment required for staff.

The agency failed to maintain documentation of evidence of the staff’s ability to demonstrate knowledge of the agency’s emergency preparedness plan.

The plan failed to contain evidence of conducting annual testing including unannounced staff drills using the emergency procedures and/or participate in a full-scale exercise that is community-based or when a community-based exercise is not accessible, an individual, facility-based.