{"ref":"OH-HSP-GOV-04","title":"Inspections, Plans of Correction, Variances and Waivers","category":"Governance","summary":"Sets out how the Agency prepares for and handles ODH licensure, complaint and follow-up inspections, what access surveyors must have, how a plan of correction is written and filed within ten calendar days when ODH requires one, and how the Agency asks ODH for a variance, a waiver or a therapy waiver.","inShort":["If a surveyor from the Ohio Department of Health arrives, check their ID, let them in right away and call the Administrator.","Give surveyors the records they ask for, including electronic records. Never change or create a record after the fact.","A surveyor may visit patients at home only if the patient or family agrees.","When ODH requires a plan of correction, the Agency must send it within ten calendar days of receiving the notice.","Help with any correction you are assigned and keep it in place: ODH can come back to check."],"primaryCitation":"OAC 3701-19-05","citations":["OAC 3701-19-05","OAC 3701-19-24","OAC 3701-19-19(C)","OAC 3701-19-23(E)","ORC 3712.03(A)(7), (A)(9), (C)","OAC 3701-19-03(C)(6)","OAC 3701-19-22.1(G)(1)"],"federalCitations":["42 CFR §418.116"],"surveyorAsks":["Show me the plan of correction for your last inspection and the evidence that each correction was made and kept in place.","How quickly can you give me the records I ask for, including electronic records and records from your other locations?"],"forms":[{"ref":"OH-HSP-GOV-04-A","title":"Inspection and Plan of Correction Record"},{"ref":"OH-HSP-GOV-04-B","title":"Variance or Waiver Request Worksheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 3701-19-05)","5. When a Surveyor Arrives","6. Inspection Fees","7. Plans of Correction","8. Variances and Waivers (OAC 3701-19-24)","9. Therapy Waiver (OAC 3701-19-19(C))","10. Interpretive Guidelines","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"oh-hospice","state":"Ohio","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}