Licensing review requirements

1. The division shall conduct a licensing review within one year of the initial license and at least every three years thereafter to determine continued compliance with the standards contained in this chapter. 2. The division may conduct scheduled or unscheduled visits at times other than routine licensing reviews. 3. Within thirty days of the licensing review, the division shall send a licensure review report to the medication unit. 4. A licensure review report must contain a description of: a. The medication unit reviewed; b. Any conditions issued; and c. Any recommendations. 5. A medication unit receiving a condition shall submit to the division a corrective action plan within thirty days from receipt identifying how the medication unit will become compliant with the standards contained in this article. 6. The medication unit has sixty days after the corrective action plan is submitted to implement the actions to become compliant with the standards contained in this chapter. 7. The division shall require documentation or conduct an onsite review or both to ensure the medication unit has implemented its corrective action plan.