26 Tex. Admin. Code § 554.2004 - Determinations and Actions Pursuant to Inspections
(a) DADS determines if a facility meets the
licensing rules, including both physical plant and facility operation
requirements.
(b) Violations of
regulations will be listed on forms designed for the purpose of the inspection
or will be listed in letter form when administrative penalties are being
proposed.
(c) At the conclusion of
an inspection, survey, or investigation, the violations will be discussed in an
exit conference with the facility's management. A written list of the
violations will be left with the facility at the time of the exit conference;
any additional violation that may be determined during review of field notes or
preparation of the official final list will be communicated to the facility in
writing within 10 working days after the exit conference. DADS gives the
facility an additional exit conference regarding the additional
violations.
(d) Not later than the
fifth working day after the date a facility receives the final statement of
violations under this section, the facility must provide a copy of the
statement to a representative of the facility's family council.
(e) Within 10 working days after receipt of
the final statement of violations, the facility must submit an acceptable plan
of correction to the regional director, except plans of correction under §
554.2112(i) of
this chapter (relating to Administrative Penalties). An acceptable plan of
correction must address the following areas:
(1) how corrective action will be
accomplished for those residents affected by the violations;
(2) how the facility will identify other
residents with the potential to be affected by the same violations;
(3) what measures will be put into place or
systemic changes made to ensure the violations will not recur;
(4) how the facility will monitor its
corrective actions to ensure that the violations are being corrected and will
not recur; and
(5) when corrective
action will be completed.
(f) A clear and concise summary in
nontechnical language of each licensure inspection or complaint investigation
will be provided by DADS at the time the report of contact or similar document
is provided.
Notes
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