1. A. When the Department finds a violation of this Chapter, the Department shall notify the Agency of the violation under this Section.

2. B. Corrective Action Plan

   1. 1. The Department may require the Agency to prepare a Corrective Action Plan for the Department’s review and approval.

   2. 2. A Corrective Action Plan submitted by the Agency shall contain the following information:

      1. a. A list of the license violations requiring correction,
      2. b. How the Agency will remedy the violations,
      3. c. The time period for completing all corrective actions,
      4. d. Agency staff responsible for carrying out the corrective action plan, and
      5. e. A requirement for the Agency to send the Department a final report when all corrective action is completed.
   3. 3. A signature by the licensee or authorized representative and the date the Corrective Action Plan is signed.
   4. 4. The Department shall ensure that a Corrective Action Plan submitted by the Agency includes all requirements listed in subsection (B)(2).
   5. 5. The Department may require additional information prior to accepting the Corrective Action Plan submitted by the Agency.
   6. 6. The Department may monitor the Agency’s progress in completing the Corrective Action Plan.

3. C. The Department shall notify the licensee of a violation through a Directive Corrective Action Plan. The notification shall include:

   1. 1. The rule violated;
   2. 2. The expected resolution of the violation;
   3. 3. The expected evidence to prove that the agency has complied; and
   4. 4. The expected date the violation is to be remedied.
4. D. At any time, the Department may conduct an announced or unannounced inspection of the Agency or facility to monitor corrections required by a Corrective Action Plan or Directive Corrective Action Plan.

Historical Note

New Section made by final rulemaking at 29 A.A.R. 2231 (September 29, 2023), effective November 6, 2023 (Supp. 23-3).