La. Admin. Code tit. 48 § I-4517

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-4517 - Survey Activities

A. The department may conduct periodic licensing surveys and other surveys as deemed necessary to ensure compliance with all laws, rules and regulations governing ASCs and to ensure patient health, safety and welfare. These surveys may be conducted on-site or by administrative review and shall be unannounced.

B. The department may require an acceptable plan of correction from the ASC for any survey where deficiencies have been cited, regardless of whether the department takes other action against the ASC for the deficiencies cited in the survey. The acceptable plan of correction shall be submitted for approval to the department within the prescribed timeframe.

C. A follow-up survey may be conducted for any survey where deficiencies have been cited to ensure correction of the deficient practices.

D. The department may issue appropriate sanctions for noncompliance, deficiencies and violations of law, rules and regulations. Sanctions may include, but are not limited to:

1. civil fines;

2. directed plans of correction;

3. denial of license renewal; and/or

4. license revocation.

E. LDH surveyors and staff shall be:

1. given access to all areas of the ASC and all relevant files and other documentation as necessary or required to conduct the survey:

a. for any records or other documentation stored on-site, such shall be provided within one to two hours of surveyor request; and

b. for any records or other documentation stored off-site, such shall be provided to the surveyor for review no later than 24 hours from the time of the surveyors request.

2. allowed to interview any facility staff, patient or other persons as necessary or required to conduct the survey; and

3. allowed to photocopy any records/files requested by surveyors during the survey process.

F. The department shall conduct complaint surveys in accordance with R.S. 40:2009.13 et seq.

La. Admin. Code tit. 48, § I-4517

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 431737 (9/1/2017).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2131-2141.