The Department will document the extent of an ASF’s compliance with this subpart in at least one of the following ways:
- (1) The statement of a person in charge or staff member.
- (2) Documentary evidence provided by the facility.
- (3) Answers by the ASF to detailed questions provided by the Department concerning the implementation of this subpart or examples of the implementation which will enable a judgment about compliance to be made.
- (4) On-site observation by surveyors.
- (5) Interviews with patients, employes or other persons or sources capable of providing reliable information to the Department.