If serious deficiencies are observed, the review team must report them to the RO who
will determine if this information should be brought to the attention of appropriate
institution and/or State officials. For example, when long-term improvements are required,
such as projects involving repairs, etc., it would be advisable for the RO to convey
this information to the State in a separate letter. However, where more severe health
hazards are observed which may be of immediate danger to the beneficiaries, the deficiencies
should be reported at the time of the review to the institutional officials.
The RO should notify Central Office staff (OISP/OBDS) when the actions noted above
have been taken.