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Inspections, State Complaint Investigations, and Plans of Correction

Explains what happens when DHSR inspects the Agency or investigates a complaint, what staff do during a survey, how clients' right to object to record review is respected, how a plan of correction is prepared and filed within 10 working days, and how the Agency responds to an adverse action against its license.

Preview: full text with a package
About this policy
Policy number
NC-HC-GOV-05
Version
1.0
Main rule
10A NCAC 13J .0904
Library
North Carolina home care · 50 policies
Category
Governance
Sections
18

In short

  • State surveyors can arrive at any time without notice. Ask to see their identification and call the person in charge right away.
  • Give surveyors the records they ask for at once. Never hide, change or add to a record during a survey.
  • Do not show the records of a client who has objected in writing to state review.
  • Answer surveyors' questions honestly. You are protected when you give them information.
  • The Agency fixes any problems found and sends the state a plan of correction within 10 working days.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (10A NCAC 13J .0904)
  • 5. When Surveys Happen
  • 6. When Surveyors Arrive
  • 7. Clients' Right to Object to Record Review
  • 8. Complaint Investigations by DHSR
  • 9. Plan of Correction
  • 10. Adverse Action
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Who is in charge today, and how quickly can you give us access to records?
  • Has any client objected in writing to the Department reviewing their records? How do you know?

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