10A NCAC 14F .1205       INSPECTIONS

(a)  In accordance with G.S. 131E-167(c), inspection(s) shall be made by the Department before a program is issued its initial certification as a program defined in the Article.

(b)  The Department shall make or cause to be made such other inspections of a program as it deems necessary in accordance with the Article.  Circumstances which may be deemed to necessitate an inspection include, but are not limited to:

(1)           change in program ownership;

(2)           change in program name;

(3)           change of the premises in which a program is conducted;

(4)           the replacement or termination of employment of the program director; and

(5)           investigation of complaints.

(c)  Inspections shall be announced or unannounced and may be conducted any time during program business hours.  The purpose of any inspection shall be discussed with the Program Director or designee during an entrance conference.

(d)  Information deemed necessary by the Department to evaluate compliance with the Article and this Subchapter, shall be made available for inspection.  The information may include medical records, personnel files, policies and procedures, program records, interviews with program staff, interviews with patients, observation of the program in operation, and any other information necessary to determine compliance.

(e)  Following completion of an inspection, an exit conference shall be conducted with one or more representatives of the program's management.  An oral summary of the findings shall be presented at the exit conference.  The Department shall provide the program with a written report of the findings.  The program shall have 10 working days from the receipt of the report to respond with a plan of correction which describes the corrective actions planned and taken to correct any cited deficiency(ies), the date each deficiency was or will be corrected, and the date the program expects to be in compliance with the provisions of the Article and this Subchapter.


History Note:        Authority G.S. 131E-169; 131E-170;

Eff. July 1, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 6, 2016.