Current through Register No. 40, October 3, 2024
(a) The
department shall, after notice and opportunity to be heard, impose
administrative remedies for violations of RSA 151, He-P 807, or other
applicable licensing rules, including:
(1)
Requiring a licensee to submit a POC in accordance with (c) below;
(2) Imposing a directed POC upon a licensee
in accordance with (d) below;
(3)
Imposing conditions upon a licensee;
(4) Monitoring of a license;
(5) Immediate suspension of a license;
or
(6) Revocation of a license.
(b) When administrative
remedies are imposed, the department shall provide a written notice, as
applicable, which:
(1) Identifies each area
of non-compliance with RSA 151 or a provision of these rules; and
(2) Identifies the specific remedy(s) that
has been proposed.
(c)
A POC shall be developed and enforced in the following manner:
(1) Upon receipt of a statement of findings
or a notice to correct, the licensee shall submit its written POC for each
item, written in the appropriate place on the statement or notice and
containing:
a. How the licensee intends to
correct each area of non-compliance;
b. What measures will be put in place, or
what system changes will be made to ensure that the non-compliance does not
recur, to include how the measures will be evaluated for effectiveness;
c. The date by which each area of
non-compliance shall be corrected; and
d. The position of the employee responsible
for the corrective action.
(2) The licensee shall submit a POC to the
department within 21 days of the date on the letter that transmitted the
statement of findings or notice to correct unless the licensee requests, either
verbally or in writing, and the department agrees, to extend that deadline,
based on the following criteria:
a. The
licensee demonstrates that he or she has made a good faith effort to develop
and submit the POC within the 21 day period but has been unable to do so;
and
b. The department determines
that the health, safety or well-being of a client will not be jeopardized as a
result of granting the extension;
(3) The department shall review and accept
each POC that:
a. Achieves compliance with
RSA 151 and He-P 807;
b. Addresses
all areas of non-compliance as cited in the statement of findings or notice to
correct;
c. Prevents a new
violation of RSA 151 or He-P 807 as a result of the implementation of the POC;
and
d. Specifies the date upon
which the areas of non-compliance will be corrected;
(4) If the POC is acceptable, the department
shall issue a license certificate or provide written notification of acceptance
of the POC, whichever is applicable;
(5) If the POC is not acceptable:
a. The department shall notify the licensee
in writing within 14 days of the reason for rejecting the POC;
b. The licensee shall develop and submit a
revised POC within 14 days of the date of the written notification from the
department that states the original POC was rejected, unless, within the 14-day
period, the licensee requests an extension, either via telephone or in writing,
and the department grants the extension, based on the following criteria:
1. The licensee demonstrates that he or she
has made a good faith effort to develop and submit the POC within the 14 day
period but has been unable to do so; and
2. The department determines that the health,
safety or well-being of a client will not be jeopardized as a result of
granting the waiver;
c.
The revised POC shall comply with (1) above and be reviewed in accordance with
(3) above; and
d. If the revised
POC is not acceptable to the department, or is not submitted within 14-days of
the date of the written notification from the department that states the
original POC was rejected, the licensee shall be subject to a directed POC in
accordance with (d) below and a fine in accordance with
He-P 807.13(c)
(12) ;
(6) The department shall verify the
implementation of any POC that has been submitted and accepted by:
a. Reviewing materials submitted by the
licensee;
b. Conducting a
follow-up inspection; or
c.
Reviewing compliance during the next annual inspection;
(7) Verification of the implementation of any
POC shall only occur after the date of completion specified by the licensee in
the plan; and
(8) If the POC or
revised POC has not been implemented by the completion date at the time of the
next inspection the licensee shall be:
a.
Notified by the department in accordance with (b) above; and
b. Issued a directed POC in accordance with
(d) below and shall be subject to a fine in accordance with (f) (12) below.
(d) The
department shall develop and impose a directed POC that specifies corrective
actions for the licensee to implement when:
(1) As a result of an inspection, areas of
non-compliance were identified that require immediate corrective action to
protect the health and safety of the clients and personnel;
(2) A revised POC is not submitted within
14-days of the written notification from the department; and
(3) A revised POC submitted by the licensee
or administrator has not been accepted.
(e) If at the time of the next inspection the
directed POC referenced in (d) above has not been implemented by the completion
date stated in the directed POC the department shall:
(1) Impose a fine according to
He-P 807.13(c)
(6) ;
(2) Deny the application for a renewal of a
license in accordance with
He-P 807.13(b)
(6) ; or
(3) Revoke or suspend the license in
accordance with
He-P 807.13(g)
.
(f) The department shall offer an opportunity
for informal dispute resolution to any applicant or licensee who disagrees with
an area or areas of non-compliance cited by the department on a statement of
findings if the applicant or licensee submits a written request for an informal
dispute resolution to the department.
(g) The informal dispute resolution shall be
requested in writing by the applicant, licensee, or administrator no later than
14 days from the date the statement of findings was issued by the department
and shall include any evidence that has not yet been reviewed by the
department.
(h) Upon receipt of the
requested informal dispute resolution made by the applicant, licensee, or
administrator, the department shall review the evidence presented and if
requested, within the informal dispute resolution request, meet with, in person
or via telephone, the applicant, licensee, or administrator.
(i) The department shall change the statement
of findings or notice to correct if, based on the evidence presented, the
statement of findings is determined to be incorrect.
(j) The statement of findings or notice to
correct shall not be changed, if based on the evidence presented, the statement
of findings is determined to be correct.
(k) The department shall provide a written
notice to the applicant or licensee notifying the applicant, licensee, or
administrator of such determination.
(l) The deadline to submit a POC in
accordance with (c) above shall not apply until the notice of the determination
in (h) above has been provided to the applicant or licensee.
(m) Any violations cited for the state fire
code may be appealed to the New Hampshire state fire marshal and shall not be
the subject of informal dispute resolution as describe in this
section.
(n) An informal dispute
resolution shall not be available for any applicant or licensee against who the
department has imposed an administrative fine, or initiated action to suspend,
revoke, deny, or refuse to issue or renew a license.
(o) The department shall impose state
monitoring under the following conditions:
(1)
Repeated non-compliance on the part of the facility in areas that impact the
health, safety, or well-being of clients; or
(2) The presence of conditions in the RTRF
that negatively impact the health, safety, or well-being of clients.
#9873-A, eff 2-24-11; ss by #12727, INTERIM, eff 2-20-19,
EXPIRED: 8-19-19
