There will be an on site Inspection of Care of each Therapeutic Foster Care (TFC) agency that provides care to members which will be performed by the OHCA or its designated agent.  The OHCA will designate the members of the Inspection of Care Team.  This team will consist of two team members and will be comprised of Licensed Behavioral Health Professionals and/or Registered Nurses.  The Inspection may include observation and contact with members.  The Inspection of Care (IOC) review will consist of members present or listed as facility residents at the beginning of the Inspection of Care visit as well as members on which claims have been filed with OHCA for TFC services.  The review includes validation of certain factors, all of which must be met for the services to be compensable.  Following the on-site inspection, the Inspection of Care Team will report its findings to the agency. The agency will be provided with written notification if the findings of the Inspection of Care have resulted in any deficiencies.  A copy of the final report will be sent to the agency's accrediting agency.  Deficiencies found during the IOC may result in a recoupment of the compensation received for that service.  The individual plan of care is considered to be critical to the integrity of care and treatment and must be completed within the time lines designated at OAC 317:30-5-742.2. If the individual plan of care is missing or it is found that the child did not meet medical necessity criteria at any time, all paid services will be recouped for each day the individual plan of care was missing from the date the plan of care was due for completion.