14- 191 C.M.R. ch. 8, § 3

Current through 2024-51, December 18, 2024

Section 191-8-3 - Plan For Improvement

A. Within 30 days of receipt, the agency shall provide the funding Bureau(s) with a copy of the accrediting body's written survey report, including:

1. The organization's conclusions regarding the award or denial of accredited status, and

2. Any terms or requirements that the agency must meet as a condition for achieving or maintaining accredited status.

B. Within 60 days of the receipt of the report from the accrediting body, or an in-state survey teem, representatives from the community agency shall submit a Plan For Improvement (PFI) as required in section 4.C.

C. The PFI shall be based upon the needs and recommendations as outlined in the accreditation survey or the in-state review team's final report.

D. When an accrediting body has awarded accreditation and requires a detailed plan to address identified needs/recommendations that are conditions for attaining accredited status, then this plan shall be considered the Plan for Improvement.

E. The PFI shall contain the following information:

1. Name of the Organization

2. Address

3. Telephone

4. Author(s) of the Plan

5. Name of Accrediting Body or the state sponsored review teem

6. Date of Final Report

7. Needs as prioritized by the Agency

8. Goals - defining anticipated performance

9. Objectives - statement of what is to be accomplished, criteria for success, completion date, and person(@s) named responsible

10. Time frames for monitoring, as negotiated with state funding sources

14- 191 C.M.R. ch. 8, § 3