Current through Register Vol. 56, No. 18, September 16, 2024
(a) A licensee shall submit a plan of
correction regarding all deficiencies within 30 days, or in accordance with a
shorter time frame, as established by the Office of Licensing.
1. A shorter time frame shall be established
by the Department in those instances where prompt remediation of a deficiency
is required in order to protect the health, safety, welfare, and rights of
individuals receiving services.
(b) Following receipt of the plan of
correction, the Office of Licensing shall conduct an unannounced on-site review
to verify the corrective action taken for all deficiencies that pose a risk to
the life and safety of the residents.
1.
Following an on-site review, the findings of the Office of Licensing regarding
the licensee's plan of correction shall be provided to the licensee. These
findings shall indicate that each deficiency is corrected, partially corrected,
not corrected, or further review is required by the Office of Licensing.
i. Should there be continuing deficiencies,
or if new deficiencies are noted that document substantial or willful
noncompliance, the findings shall indicate that a second plan of correction is
required or that the Office of Licensing may impose a negative licensing
action.
2. If a second
plan of correction is required by the Office of Licensing, the licensee shall
submit the plan of correction within the time frame specified by the Office of
Licensing.
(c) Following
receipt of the second plan of correction, the Office of Licensing may conduct
an onsite review to verify the corrective action taken.
1. Subsequent to an on-site review, the
findings of the Office of Licensing regarding the licensee's second plan of
correction shall be provided to the licensee. These findings shall indicate
whether or not each deficiency is corrected.
i. Should there be continuing deficiencies
that the licensee has stated in the plan of correction have been corrected, or
if other deficiencies are noted that jeopardize the health, safety, welfare,
and rights of the individuals, or that document substantial or willful
noncompliance, the Office of Licensing shall impose a negative licensing
action.
(d)
The Office of Licensing may, when process or systemic problems are identified,
require the licensee to submit an action plan and results of the implementation
of the action plan, as required at
N.J.A.C.
10:44A-2.2(b)22 v.
