(1) The program shall have a quality management committee representative of administration and staff.

(2) The quality management committee is responsible for:

(a) developing a written plan for a continuous quality improvement program organization wide;

(b) implementing the quality improvement plan and monitoring the quality and appropriateness of services;

(c) meeting at least on a quarterly basis;

(d) identifying problems, taking corrective action as indicated, and monitoring results of those actions; and

(e) at least annually, reviewing and updating the quality improvement plan.

(3) The quality improvement program must at a minimum include but not be limited to:

(a) administrative processes;

(b) fiscal processes;

(c) clinical services; and

(d) client outcomes.