Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 1 - Administration › Subchapter 9 - Certification and Designation of Facility Services › Section 450:1-9-7.1 - Procedures for completion of additional certification processes subsequent to a Permit for Temporary Operations

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				following procedures apply for organizations awarded Permit for Temporary
				Operation pursuant to
				450:1-9-7
				that elect to progress to an additional certification by ODMHSAS. The process
				outline below will be done in cooperation between the applicant and ODMHSAS
				staff, and consists of the following:
(1) No
				later than ninety (90) days prior to the expiration of a Permit for Temporary
				Operation, ODMHSAS will notify the facility of necessary records and
				documentation to verify compliance with applicable Quality Clinical Standards
				for Certification. The facility shall provide the required materials within
				thirty (30) days of notification from ODMHSAS.
(2) A site review of the facility or program
				will be scheduled and completed once the necessary records and documentation
				have been received.
(3) Any
				deficiencies of applicable Quality Clinical Standards cited as a result of the
				site visit or subsequent review(s) of documents requested by ODMHSAS will be
				identified and a report will be provided to the facility by ODMHSAS within five
				(5) working days of the site visit unless precluded by extenuating
				circumstances.
(4) The facility
				will have ten (10) working days from receipt of the deficiency report to
				correct deficiencies related to Quality Clinical Standards categorized as
				Necessary Standards. The facility will have five (5) working days from receipt
				of the report to submit a plan of correction related to cited deficiencies in
				Quality Clinical Standards categorized as Critical Standards. ODMHSAS may
				conduct an additional site visit(s) to verify proof of compliance. Compliance
				with all Quality Clinical Standards categorized as Critical Standards for which
				the facility was not compliant upon the initial review must be demonstrated
				through a follow up review.
(5) If
				any pending deficiencies in Quality Clinical Standards are identified following
				this ten (10) day correction period, the program will have five (5) additional
				working days from receipt of any subsequent report to correct and verify
				compliance with any pending deficiencies.
(6) Facilities for which ODMHSAS cannot
				determine compliance with all Quality Clinical Standards categorized as
				Critical Standards during the follow up site visit or review may request
				ODMHSAS to complete one additional site visit or review prior to the
				finalization of a report. Facilities desiring this additional review must do so
				in writing to ODMHSAS within three (3) working days of receipt of the follow up
				report and indicate the earliest date by which ODMHSAS should schedule the
				final review but not more than fifteen (15) working days from receipt of the
				follow up report. If the applicant fails to demonstrate compliance during the
				additional site visit or review, the application for subsequent certification
				shall be denied, and the Permit for Temporary Operations will expire.
(7) Facilities for which ODMHSAS can verify
				substantial compliance with applicable Critical and Necessary Quality Clinical
				Standards during the initial review, and subsequently submit required plans of
				correction and demonstrate compliance with all Critical Quality Clinical
				Standards within the timeframes specified in (4) through (6) above may be
				considered for Certification in accordance with guidelines established in
				450:1-9-5.7.
(8) Anytime, during
				the process outlined above, ODMHSAS may request one or more written plan(s) of
				correction in a form and within a timeframe designated by ODMHSAS.
(9) Failure of any applicant to demonstrate
				compliance with standards within the timeframes specified in (4) through (6)
				above shall result in denial of the application for subsequent certification
				and the Permit for Temporary Operations will expire.