INSTRUCTIONS TO STAFF 340:110-1-54
Issued 7-01-10
1. If the programs manager is able to determine that a non-compliance should not have been documented:
(1) the programs manager insures the non-compliance is removed from the database, if applicable;
(2) documents the decision on 07LC080E, Licensing Services Supplemental Information; and
(3) mails a copy of the 07LC080E to the facility.
2. When a written grievance is submitted:
(1) the non-compliance or complaint finding in question is removed from the database while a decision is pending; and
(2) the grievance request is documented on 07LC080E, Licensing Services Supplemental Information.
3. When the decision regarding a grievance is reached:
(1) the appropriate action is taken to reflect the decision in the facility record and on the database;
(2) the decision is documented on 07LC080E; and
(3) correspondence indicating the grievance decision is mailed to the facility.