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Depending on the particular program or legislation, there are several mechanisms available to a regulated party to document any concerns over an inspection result or process. After all, failure to meet licensure and regulatory standards set by the Florida Agency for Health Care Administration means the facility could be rendered unusable. Submit all three (3) of the following documentation. (f) Ensure compliance with the recordkeeping, office surgery, and adverse incident reporting requirements of chapter 456, the respective practice acts, and rules adopted under this part and part II of chapter 408. After that, your HCA form 3020 is ready. AHCA, Provider Name: SUNSHINE STATE MEDICAL INC, Inspection Data from January 1, 2008 to present. Here are a few question examples you can include in your inspection checklist: No matter the kind of inspection checklist you create, it is important that you include all the basic information that everyone can circle back to when needed. 4 0 obj Current Regulations in ASPEN - Survey - Florida (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: to the public. The whole procedure can take a few moments. A daily vehicle inspection checklist template can be used by an authorized inspector to identify defects and mechanical issues for most vehicles. Checks guided with the use of inspection checklists help businesses from different industries ensure that the products and services their customers receive will meet or exceed expectations. To avoid having your application and payment returned: Make check/money order payable to Agency for Health Care Administration (AHCA), not State of Florida or CLIA. Home Beyondloss prevention, inspection software helps companies analyze the effectiveness of their processes through automatically generated reports.