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 - Procedures for completion of the Permit for Temporary Operations certification process

Current through Vol. 41, No. 20, July 1, 2024
(a) Completion of
				the certification process for a Permit for Temporary Operations will be done in
				cooperation between the applicant and ODMHSAS staff, and consists of the
				following:
(1) Each organization pursuing
				ODMHSAS certification shall initially apply for a Permit for Temporary
				Operations, with the exception of special circumstances specified in
				450:1-9-5.7(a)(2).
(2) Upon receipt
				of an application ODMHSAS will provide all applicants for a Permit for
				Temporary Operations a document listing the Core Organizational Standards, Core
				Operational Standards and Quality Clinical Standards required for a Permit for
				Temporary Operations. For facilities or programs that have provided clinical
				services for 30 days or longer, at the time of the initial application, ODMHSAS
				may also review applicable Quality Clinical Standards.
(3) The application, including required
				documentation of policies and procedures, shall be reviewed for completeness by
				ODMHSAS staff. If the application is deemed complete, a site review of the
				facility or program will be scheduled and completed. Failure to provide
				required materials within 60 days of receipt of the application will result in
				a denial of the application.
(4)
				Any deficiencies of applicable Core Organizational Standards and Core
				Operational Standards, and Quality Clinical Standards if applicable, cited as a
				result of the site visit or review(s) of documents requested by ODMHSAS will be
				identified and a report will provided to the facility by ODMHSAS within five
				(5) working days of the site visit unless precluded by extenuating
				circumstances.
(5) The facility
				will have ten (10) working days from receipt of the deficiency report to
				correct deficiencies related to Core Organizational and Core Operational
				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 standards categorized as Critical Standards. ODMHSAS
				may conduct an additional site visit(s) to verify proof of compliance with any
				deficiencies cited in the initial review. Compliance with all Critical
				Standards for which the facility was not compliant upon the initial review must
				be demonstrated through a follow up site visit or review.
(6) If any pending deficiencies in Core
				Organizational Standards and Core Operational 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.
(7) The following additional procedures will
				apply to programs or facilities reviewed for Quality Clinical Standards
				pursuant to an application for Permit for Temporary Operation as referenced in
				1-9-7 (2) above.
(A) The facility will also
				have ten (10) working days from receipt of the report to submit a plan of
				correction related to cited deficiencies in 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.
				The plan of correction will indicate the earliest date by which ODMHSAS should
				schedule an additional site visit or documentation review to determine
				compliance with Quality Clinical Standards for which deficiencies were cited
				but not more than twenty (20) working days from receipt of report as referenced
				in (5) above. Compliance with all in Quality Clinical Standards categorized
				Critical Standards for which the facility was not compliant upon the initial
				review must be demonstrated through a follow up review.
(B) Any deficiencies of applicable standards
				identified during the follow up review referenced in (A) above will be
				identified by ODMHSAS and included in a report provided to the facility by
				ODMHSAS within three (3) working days of the site visit or review unless
				precluded by extenuating circumstances. Facilities for which ODMHSAS cannot
				determine compliance with all pending Clinical Standards categorized as
				Critical Standards during the follow up site visit or review referenced in (A)
				above may request ODMHSAS to complete one additional site visit or review prior
				to the finalization of a certification 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 referenced in (A) above and indicate
				the earliest date by which ODMHSAS should schedule the final review but not
				more than fifteen (15) working days from receipt of report as referenced in (A)
				above. If the applicant fails to demonstrate compliance with all Quality
				Clinical Standards categorized as Critical Standards during the additional site
				visit or review, the application will be denied.
(8) Facilities for which ODMHSAS can verify
				substantial compliance with applicable Critical and Necessary Core
				Organizational Standards, Core Operational Standards, and Quality Clinical
				Standards during the initial review, and subsequently submit required plans of
				correction and demonstrate compliance with all Critical Standards within the
				timeframes specified in (5) through (7) above may be considered for Permit for
				Temporary Operation in accordance with guidelines established in 450:1-9-5.7.
(9) 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.
(10) Failure of any applicant for a Permit
				for Temporary Operation to demonstrate compliance with applicable standards
				within timeframes stipulated in (5) through (7), shall result in a notice of
				denial of the application for a Permit for Temporary Operations