Correcting the Specific Deficiency
The PoC needs to address how the facility is going to correct the specific deficiency.
In the situation of a facility failing to ensure quarterly evacuation drills, the PoC should address the following questions:
- What actions did the facility take to monitor that evacuation drills were being done?
- Who was responsible for conducting the evacuation drills?
- Do both staff and individuals participate during drills?