|Action||Compliance with Virginia’s Settlement Agreement with US DOJ|
|Comment Period||Ends 7/22/2020|
Example for Creating a CAP – After an unannounced inspection, Provider A receives a licensing report on August 1st that includes the second citation for late reporting within a one-year period.
#1 conduct a RCA in accordance with the written quality improvement program, to determine the root cause of these systemic violations.
#2c – (also reviewed in b.) if there are policy/procedure/form changes that are required to be submitted as a part of the CAP BY THE DUE DATE, this may be impossible to meet due to the need for the Board to approve policy changes or the time it may take for forms to be updated especially as the due date is only 15 business days.