Ala. Admin. Code r. 580-3-23-.10

Current through Register Vol. 43, No. 1, October 31, 2024

Section 580-3-23-.10 - Site Visits

(1) A review of administrative requirements as set out in the Alabama Administrative Code, Sections 580-2-13, 580-1-2, and 580-5-30, shall be separate from program site visits.

(2) A site visit is conducted prior to the expiration of the Letter of Temporary Operating Authority. The Provider may be required to submit additional documents prior to the certification site visit. If a program fails to demonstrate substantial compliance with minimum Department standards during this site visit, the Commissioner, in his/her sole discretion, may:

(a) immediately withdraw the program's Temporary Operating Authority, taking into consideration the need for alternative placement of persons then being served by the program; or

(b) extend the Temporary Operating Authority to allow the program time to achieve substantial compliance; or

(c) place the program in provisional certification status.

(3) The initial program site visit and/or administrative review will be scheduled with the agency. All subsequent program site visits will occur in accordance with the period of temporary operating authority or certification renewal date and may be unannounced. All subsequent administrative reviews will be conducted in accordance with the period of temporary operating authority or certification renewal date and with DMH/MR policies.

(4) At the end of each day of the site visit, a debriefing will be held with the agency's executive director or his designee and the surveyor to review any problems that may have been found that day.

(5) At the conclusion of the program site visit, preliminary findings are given orally to the Agency Director and any selected staff, board members, and representatives of consumers and families available for the exit interview.

(6) An exit interview will be conducted upon the completion of the respective Division's/Office's certification site visit. An entity should have the opportunity to clarify or present evidence of compliance on issues being cited by the certification site visit team. At the exit meeting, the entity should provide documentation/information related to specific citations or the entity will be afforded the opportunity to provide documentation to demonstrate compliance to the respective division within one (1) working day of the exit meeting.

Author: DMH/MR Office of Certification

Authority:Code of Ala. 1975, § 22-50-11.

Ala. Admin. Code r. 580-3-23-.10

New Rule: Filed October 1, 2001; effective November 5, 2001. Amended: Filed August 13, 2002; effective September 17, 2002. Amended: Filed January 19, 2005; effective February 23, 2005.