If the Program Director on the basis of an inspection of a facility determines that deficiencies or other conditions observed are the result of repeated failure to correct deficiencies or other conditions reported to the facility, or that the deficiencies or other conditions constitute a serious threat to the health or safety of inmates or employees, he shall so notify the Commissioner of Public Health. If the Commissioner agrees, he shall notify the Commissioner of Correction or the sheriff of the particular county, and the Secretary of HumanServices, and he shall request that the Commissioner of Correction or the sheriff and the Secretary secure prompt correction of the deficiencies.
105 CMR, § 451.409