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Inspections, Plans of Correction, Variances and Waivers

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.

Preview: full text with a package
About this policy
Policy number
OH-HSP-GOV-04
Version
1.0
Main rule
OAC 3701-19-05
Library
Ohio hospice · 60 policies
Category
Governance
Sections
18

In short

  • 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.

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 (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

An inspector may ask

  • 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?

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