What is the process used the leads to an AA citation and how are they approved?
Most frequently, a class AA citation is based on an investigation of a received complaint or a facility self reported event. In some cases, the violation may be detected during a recertification or licensing survey. Once identified, L&C conducts a thorough investigation using principals of documentation that include record reviews, direct observations and interviews. Once the investigation is completed and the findings written, the report is reviewed by the District Office manager. If the manager concurs that the violation rises to the level of class AA violation, the findings are submitted to a medical consultant, the Department’s Office of Legal Services and the Field Operations Branch Chief for review and approval. If all reviewers concur with the findings, then the District Office issues the citation to the facility.
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