1. (a) Within 3 weeks of receiving the monitoring report, the program director shall submit to the department a corrective action plan for each requirement included in the monitoring report, including the following:

   1. (1) What action the program has taken or will take to address the requirement(s);
   2. (2) What action the program will take to assure compliance with these rules and the applicable statutes in the future;
   3. (3) The date by which each of the requirements was addressed or will be addressed;
   4. (4) What interim measures the program has implemented when the requirement cannot be addressed immediately; and
   5. (5) The dated signature of the program director.
2. (b) When the corrective action plan in (a) above is not acceptable for addressing the requirements, the department shall issue a corrective action plan to the program director.
3. (c) Not withstanding (a) and (b) above, when the department determines that there is an immediate need for corrective action, it shall issue a corrective action plan to the program without first offering the program an opportunity to complete and submit a corrective action plan.

4. (d) When the program director receives a corrective action plan issued by the department, in accordance with (b) or (c) above, it shall:

   1. (1) Make any additions the program believes are necessary; and
   2. (2) Complete and return the corrective action plan in accordance with (a) above.
5. (e) Notwithstanding (a) through (d) above, when a program has repeatedly violated rules or statute or has violated a rule or statute which resulted in physical or mental injury to a client, or caused a client to be in danger of physical or mental injury, the department shall initiate enforcement action without first requesting that the program submit a corrective action plan.

Source. #7058, eff 7-21-99; ss by #8902, INTERIM, eff 7-13-07, EXPIRED: 1-9-08 New. #9082, eff 1-30-08