Ala. Admin. Code r. 580-3-23-.12 - Site Visit Reports
(1)
Within thirty (30) days of the site visit, the Certification Site Visit Report
will be sent to the Agency's Director via certified mail. As applicable, a copy
of the report will be sent to the agency's Board of Directors and, as
applicable, a copy will be sent to the Executive Director of an agency holding
the contract with DMH/MR (if the agency certified is a sub-contracting
agency).
(2) The Certification Site
Visit Report lists each standard not met and specific findings, which
constitute the basis for noncompliance, and may also include recommendations
for standards that need quality improvement. The report will specify timeframes
for mandatory compliance with specific standards. Consistent failure to meet
Department standards, as defined in this regulation (580-3-23-.16), may result in
provider decertification without further certification site visits being
conducted.
(3) If a certification
site visit determines that a provider is not in substantial compliance with a
DMH/MR division's standards, the provider's Executive Director, and as
applicable, the Board of Directors, the executive director of the provider's
parent agency, and any other appropriate parties, will be notified by letter
sent via certified mail that the provider is being placed in provisional
certification status for a period of up to sixty (60) days.
Author: DMH/MR Office of Certification
Authority: Code of Ala. 1975, ยง 22-50-11.
Notes
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