12VAC5-371-55: Plan of correction

A. Upon receipt of a written inspection report, the administrator or the administrator's designee shall prepare a written plan of correction addressing each licensing violation cited at the time of inspection.

B. The administrator or the administrator's designee shall submit to the OLC a written plan of correction no more than 15 business days after receipt of the inspection report. The plan of correction shall contain, for each licensing violation cited:

1. A description of the corrective action to be taken and the position title of the employees to implement the corrective action. If employees share the same position title, the administrator or the administrator's designee shall assign the employees a unique identifier to distinguish them;

2. The expected correction date, not to exceed 45 business days from the exit date of the inspection; and

3. A description of the measures implemented to prevent a recurrence of each licensing violation.

C. The administrator or the administrator's designee shall ensure that the person responsible for the validity of the plan of correction signs, dates, and indicates the person's title on the plan of correction.

D. The OLC shall notify the administrator or the administrator's designee if the OLC determines any item in the plan of correction is unacceptable.

E. The OLC may conduct an inspection to verify any portion of a plan of correction has been implemented.

F. The administrator or the administrator's designee shall ensure the plan of correction is implemented and monitored so that compliance is maintained.

G. The commissioner may deny licensure or renewal of licensure or revoke licensure if the administrator or the administrator's designee fails to submit an acceptable plan of correction or fails to implement an acceptable plan of correction.

H. The OLC shall consider the submission date of a plan of correction to be the date the plan of correction is postmarked or the date it is received, whichever is earlier.