N.M. Admin. Code § 8.321.11.19 - FACILITY SURVEYS
A.
Application for licensure, whether initial or renewal, shall constitute
permission for unrestricted entry into and survey of a CTC by authorized
licensing authority representatives at times of operation during the pendency
of the license application, and if licensed, during the licensure
period.
B. Surveys may be announced
or unannounced at the sole discretion of the licensing authority.
C. Upon receipt of a report of deficiency
from the licensing authority, the licensee or their representative shall be
required to submit a plan of correction to the licensing authority within 10
working days stating how the CTC intends to correct each violation noted and
the expected date of completion. All plans of correction for deficiencies, if
any, shall be disclosed in compliance with applicable statutes and regulations.
A plan of correction is not confidential once it has been approved and is
admissible for all purposes in any adjudicatory hearing and all subsequent
appeals relating to a CTC license, including to prove licensee compliance
violations. The plan of correction must contain the following:
(1) what measures will be put into place or
what systematic changes will be made to ensure the deficient practice does not
recur;
(2) the anticipated
implementation date (a reasonable time-frame is allowed);
(3) how the corrective action will be
monitored to ensure compliance;
(4)
what quality assurance indicators will be put into place;
(5) who will be responsible to oversee their
monitoring; and
(6) plan of
correction shall be signed and dated by the administrator or authorized
representative.
D. The
licensing authority may at its sole discretion accept the plan of correction as
written or require modifications of the plan by the
licensee.
Notes
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