---
kind: "section"
citation: "45 C.F.R. § 411.114"
title: "45"
number: "411.114"
heading: "Audit corrective action plan."
url: "https://uscodex.org/cfr/45/411.114"
---

# §411.114. Audit corrective action plan.

- (a) A finding of “Does Not Meet Standard” with one or more standards must trigger a 90-day corrective action period.
- (b) The auditor and ORR must jointly develop a corrective action plan to achieve compliance.
- (c) The auditor must take necessary and appropriate steps to verify implementation of the corrective action plan, such as reviewing updated policies and procedures or re-inspecting portions of a care provider facility.
- (d) After the 180-day corrective action period ends, the auditor must issue a final determination as to whether the care provider facility achieved compliance with those standards requiring corrective action.
- (e) If the care provider facility does not achieve compliance with each standard, it may (at its discretion and cost) request a subsequent audit once it believes that it achieved compliance.

## Notes

### Authority

Authority: 42 U.S.C. 15607 (d).

### Source

Source: 79 FR 77789, Dec. 24, 2014, unless otherwise noted.