NC Register Volume 9 Issue 15 - Office of Administrative Hearings
NC Register Volume 9 Issue 15 - Office of Administrative Hearings
NC Register Volume 9 Issue 15 - Office of Administrative Hearings
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—<br />
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—<br />
——<br />
——<br />
—<br />
s<br />
PROPOSED RULES<br />
148-13.<br />
TITLE 10 - DEPARTMENT OF<br />
HUMAN RESOURCES<br />
[Sotice is hereby given in accordance with G.S.<br />
<strong>15</strong>0B-21. 2 that the N. C.<br />
Medical Care Commission<br />
intends to amend rule cited as 10 <strong>NC</strong>AC 3H .<br />
0221.<br />
1 he proposed effective date <strong>of</strong> this action is<br />
March 1, 1995.<br />
1 he public hearing will be conducted at 9:30<br />
a.m. on December 2, 1994 at the Council Building,<br />
Room 201, 701 Barbour Drive, Raleigh, N.C.<br />
27603.<br />
lXeason for Proposed Action: To eliminate<br />
reference to the Internal Review Committee (IRC)<br />
in the rule due to a change in process.<br />
(comment Procedures: In order to allow the<br />
Commission sufficient time to<br />
your written<br />
comments, please submit your comments<br />
to Mr. Jackie R.<br />
review and evaluate<br />
Sheppard, APA Coordinator,<br />
DFS, PO Box 29530, Raleigh, <strong>NC</strong> 27626-<br />
0530, telephone (919) 733-2342 by November<br />
25th, but in no case later than the hearing on<br />
December 2, 1994.<br />
CHAPTER 3 -<br />
FACILITY SERVICES<br />
SUBCHAPTER 3H - RULES FOR THE<br />
LICENSING OF NURSING HOMES<br />
SECTION .0200 - LICENSURE<br />
.0221 ADMINISTRATIVE PENALTY<br />
DETERMINATION PROCESS<br />
{B (a) The surveyor shall identify areas -ef- ot non<br />
oomplianoe<br />
resulting— from—as<br />
investigation—ef<br />
survey whioh may be violations <strong>of</strong> pati e nts' righto<br />
oontained in G.S. 131E 117 or rules oontainod in<br />
this Subchapte r.— Th e areas <strong>of</strong> non oomplianoe<br />
shall<br />
be docum ented by the surveyor and a Nega<br />
tivo Aotion Proposal— submitted to the Internal<br />
Review Committee .<br />
{b) The Inte rnal Review Committee shall be<br />
oompriBed <strong>of</strong> three me mbers:<br />
fB Th e assistant ohi ef <strong>of</strong> the Licensure<br />
Section, erson designated by the<br />
or a p<br />
ohief <strong>of</strong> th e Licensure Section, who<br />
shall serve as chairman;<br />
{3} The head <strong>of</strong> the Complaints Invoetiga<br />
tion Branch, if the propo s al i s the result<br />
<strong>of</strong> a health care s urvey; or the head <strong>of</strong><br />
the Health Care Facilities Branch, if the<br />
proposal i s the result <strong>of</strong> a complaint<br />
investigation; or a person designated by<br />
the chief <strong>of</strong> the Licensure Section; and<br />
03 A third party selected by the chief <strong>of</strong><br />
(c)<br />
the Licensure Section.<br />
The Department shall notify the licensee by<br />
certified mail within 10 working days from the<br />
ttrae<br />
the<br />
proposal—is<br />
Review Committee that<br />
i s being considered.<br />
{d)<br />
received by the Internal<br />
an administrative penalty<br />
The licensee shall have 10 working days<br />
from receipt <strong>of</strong> the notification to provide the<br />
Department—aay additional— written informatioe<br />
relating to the proposed administrative penalty.<br />
Upon request by the licensee, the Department shall<br />
grant the licensee an extension <strong>of</strong> up to 30 days to<br />
submit additional written information relating to<br />
the proposed administrative action.— The licensee<br />
shall have five working days from receipt <strong>of</strong> the<br />
notification to advise the Department as to whether<br />
the licensee,<br />
an authorized representative or both<br />
plan to meet with the Internal Review Committee.<br />
(c)<br />
If the licensee chooses to attend the meeting<br />
as provided in Paragraph (d) <strong>of</strong> this Rule, a sur<br />
vcyor or a representative <strong>of</strong> the branch which<br />
conducted the investigation or survey shall attend<br />
the Interna]— Review Committee meeting when<br />
survey schedules permit.— The Department shall<br />
notify the Divi s ion <strong>of</strong> Aging <strong>of</strong> the licensee's plans<br />
to<br />
meet with the Committee or any change in the<br />
date or time <strong>of</strong> the meeting.<br />
If the licensee choos<br />
cs to attend the meeting, the agency that conducted<br />
the survey or investigation shall be responsible for<br />
notifying the complainant, if any.— The complain<br />
ant, if any, may attend the meeting relating to hi s<br />
or her complaint.<br />
(f) The Internal Review Committee shall review<br />
aH Negative— Aotion — Proposals,—aay— upporting<br />
evidence, and any additional information provided<br />
by the licensee that may have a bearing on the<br />
proposal—sueb—as documentation— not available<br />
during the investigation or survey,<br />
action taken to<br />
correct the violation and plans to prevent the<br />
violation from recurring.<br />
(g) There shall be no taking <strong>of</strong> sworn testimony<br />
nor cro s s examination <strong>of</strong> anyone during the course<br />
<strong>of</strong> Internal Review Committee meetings .<br />
(h)<br />
Time shall be allowed during the Internal<br />
Review Committee meetings for individual proscn<br />
tations, the total for which shall normally be one<br />
1161 NORTH CAROLINA REGISTER November 1, 1994 9:<strong>15</strong>