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Prepare Your LHCSA for a Successful DOH Audit

Free Compliance Resource for New York LHCSAs

Is Your LHCSA Ready for a DOH Audit?

Most agencies don’t find their compliance gaps until a surveyor does. This checklist helps you find them first — before they become citations.

What you will learn:

The exact personnel file requirements DOH surveyors check first — and where most agencies fall short

Which training and competency documentation gaps trigger immediate citations

How to conduct an internal mock audit before DOH arrives — and what to include

Why passing your last survey does not mean you are ready for the next one

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Inside the Checklist

Five areas surveyors examine.
Most agencies are weak in at least two.

The checklist walks through each section in the order a DOH surveyor typically would — so you can assess your agency the same way they will.

Section 01

Personnel File Compliance

The first place surveyors look. Covers credentials, health clearances, TB documentation, and the records most agencies have — but not in the right format.

Section 02

Training & Inservice Records

Inservice hours, sign-in sheets, and competency evaluations. Training that cannot be verified on paper did not happen as far as DOH is concerned.

Section 03

Patient Record Integrity

Care plans, visit notes, and aide assignments reviewed for completeness, internal consistency, and alignment with each patient’s authorized services.

Section 04

Supervisory Visit Documentation

Are your required supervisory visits happening on schedule — and are they documented in a way that holds up to scrutiny?

Section 05

Incident Reporting & Infection Control

Reporting procedures, log currency, and infection control protocols — an area regulators have scrutinized more closely in recent survey cycles.

Who This Is For

Built for the people responsible when the surveyor arrives.

This checklist is written for LHCSA owners and administrators who carry direct accountability for survey outcomes. If you are running a licensed home care services agency in New York or New Jersey and DOH preparedness is part of your responsibility, this resource was written for your situation specifically.

LHCSA Owners

Agency owners who need a clear picture of their compliance posture before their next survey cycle.

Administrators & Compliance Staff

Operations and compliance leads who manage documentation, staff records, and internal audit processes day to day.

Agencies Preparing After a Clean Survey

Agencies that passed their last audit but recognize that regulatory requirements and documentation standards have shifted since then.

About AllProNY

We work inside home care operations. This is not theoretical.

AllProNY is a nurse-led home healthcare and private staffing agency serving New York and New Jersey. Our compliance consulting work grows directly from our operational experience — we understand what LHCSA documentation looks like from the inside, and we know where the gaps tend to hide.

We work with a limited number of agencies at a time to make sure the engagement is done properly. The checklist is the starting point — a readiness conversation with our team is the next step.

NY & NJ

Regions Served

Nurse-Led

Agency Model

LHCSA

Specialized Focus

30-Day

Placement Guarantee

Get the Checklist

Know where your agency stands before DOH does.

Download the free audit readiness checklist and identify your highest-risk compliance gaps — at no cost, with no obligation.

Download the Free Checklist

Questions?  (516) 387-4246  ·  services@allprony.com