Section 518.1160 Surveys
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Illinois Administrative Code › Title 77 PUBLIC HEALTH › CHAPTER I: DEPARTMENT OF PUBLIC HEALTH › Part 518 FREESTANDING EMERGENCY CENTER CODE › Section 518.1160 Surveys
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Section 518.1160 Surveys
a) The Department will conduct a survey of an FEC at any time to
determine compliance with the Act and this Part or with a plan of correction
submitted as a result of deficiencies cited by the Department.
b) Surveys (except for initial licenses) will be unannounced.
c) Upon completion of each survey, the Department will submit a
copy of the report to the licensee within 15 working days after exit. The
report will identify deficiencies in compliance with the requirements of the
Act or this Part. The report will include any recommendation for action by the
Department under the Act and of correction from the facility. The licensee may
provide related comments or documentation to refute findings in the report,
explain extenuating circumstances that the facility could not reasonably have
prevented, or indicate methods and timetables for correction of deficiencies
described in the report. A licensee has 15 days after receipt of the survey
report to submit a plan of correction.
d) The Department will determine whether a facility is in
violation of this Section no later than 90 days after completion of each
survey.
e) The Department will maintain all survey reports for at least
seven years in a manner accessible to the public.
f) Any licensee, applicant for a license, or person operating an
FEC shall be deemed to have given consent to any authorized officer, employee
or agent of the Department to enter and inspect the FEC, conduct interviews and
photocopy materials as necessary to determine compliance in the facility in
accordance with the Act and this Part. Refusal to permit such entry or survey
shall constitute grounds for denial, nonrenewal or revocation of a license.
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