R21-7-119. Quality Management

The Chief Executive Officer shall: 1. Develop and implement a written plan for ongoing quality management that, at a minimum, includes a method to: a. Identify, document, and evaluate incidents; b. Collect data to evaluate services provided to children; c. Evaluate the data collected to identify a concern about the delivery of services related to children in their care; and d. Make changes or take action as a result of the identification of a concern about the delivery of services related to children in their care; 2. Submit an annual summary report to the governing body that includes: a. An identification of each concern about the delivery of services related to children in care; and b. Any change made or action taken as a result of the identification of a concern about the delivery of services related to children in care; 3. Maintain the report required in subsection (2) and the supporting documentation for the report as indicated in R21-7-122; and 4. Submit the plan for ongoing quality management and the annual summary report to the Department at license renewal.