Current through Register Vol. 56, No. 18, September 16, 2024
(a) The licensee shall submit a plan of
correction regarding deficiencies cited in the inspection report 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 Office of Licensing in those instances where prompt
remediation of a deficiency is required in order to protect the health, safety,
welfare, and rights of persons served.
(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 whether each deficiency is corrected, partially
corrected, or not corrected, or whether 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 had been corrected, or
if other deficiencies are noted that jeopardize the health, safety, welfare,
and rights of the persons served, or which 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.
10:44C-2.2(b)23 v.
