51. (1) After an inspection of a premises, the College shall determine, in accordance with the accepted standards of practice, whether the premises pass, pass with conditions, or fail.  O. Reg. 134/10, s. 1 (1). (2) In determining whether premises pass, pass with conditions or fail an inspection, the College may consider, (a)  the inspection results provided to the College by the inspector; (b)  information provided by one or more members who perform or may perform procedures in the premises respecting the inspection, including the answers given by them in response to inquiries or questions asked by the inspector; (c)  the information contained in a notice given by a member under subsection 49 (1) or (3); (d)  any submissions made by the member or members practising in the premises that are relevant to the inspection; and (e)  any other information that is directly relevant to the inspection of the premises conducted under this Part.  O. Reg. 134/10, s. 1 (1). (3) The College shall deliver a report, in writing, to the owner or occupier of the premises and to every member who performs or may perform a procedure on a patient in the premises, within a reasonable time after the inspection is completed, in accordance with section 39 of the Regulated Health Professions Act, 1991.  O. Reg. 134/10, s. 1 (1). (4) Any report made by the College respecting an inspection of premises where a procedure is or may be performed shall make a finding that the premises passed, passed with conditions, or failed the inspection and shall provide reasons where the premises passed with conditions or failed the inspection.  O. Reg. 134/10, s. 1 (1). (5) Any report made by the College that makes a finding that the premises failed an inspection or passed with conditions is effective on the day that it is received by one or more members who perform or may perform a procedure within the premises, in accordance with section 39 of the Regulated Health Professions Act, 1991.  O. Reg. 134/10, s. 1 (1). (6) A member shall not perform a procedure on a patient in premises that fail an inspection until, (a)  the College delivers a report indicating that the premises passed a subsequent inspection, or passed with conditions; or (b)  after considering submissions under subsection (8), the College substitutes a finding that the premises pass or pass with conditions.  O. Reg. 134/10, s. 1 (1). (7) A member shall not perform a procedure on a patient in premises that pass an inspection with conditions except in accordance with the conditions set out in the report until, (a)  the College delivers a report indicating that the premises passed a subsequent inspection; or (b)  after considering submissions under subsection (8), the College substitutes a finding that the premises pass.  O. Reg. 134/10, s. 1 (1). (8) A member may make submissions in writing to the College within 14 days from the day he or she receives a report made by the College that finds that the premises passed with conditions or failed the inspection.  O. Reg. 134/10, s. 1 (1). (9) The College may or may not elect to re-inspect the premises after receiving a member’s submissions, but no more than 60 days after a member provides his or her submissions, the College shall do one or more of the following: 1.  Confirm its finding that the premises failed the inspection or passed with conditions. 2.  Make a report and find that the premises pass with conditions. 3.  Make a report and find that the premises passed the inspection.  O. Reg. 134/10, s. 1 (1). (10) Premises that fail an inspection or pass with conditions may be subject to one or more further inspections within a reasonable time after the College delivers its report, at the request of a member, any other person to whom the College gave the report, or at any time at the discretion of the College.  O. Reg. 134/10, s. 1 (1). (11) Where, as a result of an inspection carried out under this Part, a report made by the College finds that a member’s knowledge, skill or judgment is unsatisfactory, the College may direct the Registrar to refer the report to the Quality Assurance Committee.  O. Reg. 134/10, s. 1 (1). (12) Where, as a result of an inspection carried out under this Part, a report made by the College finds that a member may have committed an act of professional misconduct or may be incompetent or incapacitated, the College may direct the Registrar to refer the report to the Inquiries, Complaints and Reports Committee.  O. Reg. 134/10, s. 1 (1).