New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 553 - Visitation And Inspection Of Facilities
Section 553.4 - Reports

(a) Unless otherwise provided in subdivision (b) of this section, a written report of each review and inspection shall be developed and sent to the facility by the office and shall include, as indicated, significant findings of merit or opportunities for improvement with regard to any aspects of the facility. When required, the facility shall respond with an action plan addressing the office's findings.

(b) For hospitals that have been granted deemed status pursuant to section 553.5 of this Part, such hospital, or The Joint Commission or other approved accreditation agency, will provide the office with a copy of the final accreditation report. When required, the facility shall respond to The Joint Commission and the Office with an action plan addressing The Joint Commission's findings.

(c) The office shall make available copies of reports that it has developed and sent to facilities in accordance with subdivision (a) of this section to the local governmental unit for facilities within such local governmental unit's jurisdiction, provided, however, for hospitals which have been granted deeming status under section 553.5 of this Part, such hospitals shall provide a copy of the final report developed by The Joint Commission to the local governmental unit, upon its request.