105 CMR 164.620
Required Notifications to the Department
(A)
Legal Proceedings. The Approved Provider shall report to the Department in a manner
prescribed by the Department any civil action or criminal charge initiated against the Approved
Provider or any person employed or contracted by the Approved Provider that relates to the
delivery of the service or may affect the continued operation of the facility. The report shall be
provided no later than one calendar day after the initiation of any legal action.
(B) Closure. When an Approved Provider plans to cease operation said Provider shall notify
the Department, patients, and residents.
(C) The Department may grant permission for the temporary closure of the service or program
provided that:
the Licensed or Approved Provider has submitted a plan for continued substance use
disorder treatment for all patients during the temporary closure; and
(2) the Licensed or Approved Provider may only close after approval from the Department.
(D) Interruption or Suspension of Service. If an Approved Provider determines that the health,
safety or well-being of patients or residents is in imminent danger as a result of conditions
existing within the program, the Approved Provider shall notify the Department immediately
upon becoming aware of the danger to patients and comply with 105 CMR 164.086.
(E)
Change of Program or Service Provision. An Approved Provider shall notify the
Department in a manner prescribed by the Department at least 30 calendar days before any
change in program or service provision. The Department shall determine whether such change
requires re-licensure.
(F)
Change of Administrator, Executive or Program Director. An Approved Provider shall
notify the Department at least 14 calendar days before a planned change of Administrator,
Executive or Program Director. In the event of an unplanned departure of a director, the
Approved Provider shall notify the Department upon the next business day of the change of
director in a manner prescribed by the Department.
(G) Death, Serious Incident, Accident or Fire.
The Approved Providers that directly provide services shall notify the Department
immediately upon the occurrence of any of the following at the program:
(a) learning of the death of any person currently admitted to the program, regardless of
where the death occurs;
(b) full or partial evacuation of the facility for any reason;
(c) fire;
(d) suicide;
(e)
criminal acts alleged to have been committed by patients, contractors, or staff
members;
(f) pending or actual strike action by its employees, and contingency plans for operation
of the program;
(g)
alleged abuse or neglect, or physical or sexual assault, or prohibited interaction
which occurs between or among patients currently or previously treated by the program,
or which occurs between or among such and current or former staff regardless of
location, including any incident which is reported to another agency or law enforcement;
(h) alleged abuse or neglect at the program which includes the following:
1. any reports of child abuse or neglect made under M.G.L. c. 119, § 51A;
2. any reports of elder abuse or neglect made under M.G.L. c. 19A, § 15; and
3. any reports of abuse of a disabled person made under M.G.L. c. 19C;
(i) any condition at the program which poses a threat to the health, safety, or well-being
of patients or staff;
(j)
confirmed cases among staff or patients and residents of communicable diseases
which are reportable under 105 CMR 300.000: Reportable Diseases, Surveillance, and
Isolation and Quarantine Requirements; or
(k) any other serious incident or accident as specified in guidelines of the Department.
Approved Providers that directly provide services shall report to the Department any
other serious incident occurring under the auspices of the Approved services that seriously
affects the health, safety, or well-being of a patient(s) or that causes serious physical injury
to a patient(s) within five business days of the date of occurrence of the event.