Via NABP e-Profile Connect, you may view: The pharmacy inspection is not an accreditation program, and we do not make any determination of passed or compliant with regard to any specific state regulations. (E) A pharmacy may enter into an agreement to compound and dispense prescription drug or medication orders for another pharmacy provided the pharmacy complies with the provisions of 291.125 of this title (relating to Centralized Prescription . In the future, participation may expand to include general pharmacy and nonsterile compounding. The unavailability of such drug product must be documented prior to compounding. Utilizing VPP inspection reports, along with license verification and disciplinary information provided through the NABP Clearinghouse, you can efficiently make informed decisions on licensure or the licensure renewal for nonresident pharmacies. 0000011829 00000 n } 0000003561 00000 n Retail Pharmacy Pre-Inspection Form (New Pharmacies Only) 1444 0 obj <>/Filter/FlateDecode/ID[<0F21AD11D7253744824AFEC09C42ECEE><0FC93FA95C5C904F8EECF40D37701AAD>]/Index[1405 82]/Info 1404 0 R/Length 159/Prev 424491/Root 1406 0 R/Size 1487/Type/XRef/W[1 3 1]>>stream document.returnValue = true; 0000000016 00000 n Veterinarians are strongly encouraged to keep their CE records in the facility where they are practicing. Public comments will be accepted through April 3, 2023. 0000009942 00000 n Pharmacies that operate in multiple states have found VPP to be a practical and cost-effective solution because just one inspection often satisfies the requirements in most states. 0000092111 00000 n For basic instructions on submitting your application, read theApplication Basics document. This is also an important educational opportunity for inspectors to provide guidance and answer your questions about pharmacy laws and regulations. Essential Elements of Compounded Sterile Preparations (LP3 Network) - ACPE number 0864-9999-18-047-H07-P/T We will be updating the forms on this page regularly and all forms are subject to change without being posted on the website. endstream endobj startxref a Og 0000042535 00000 n Code 110.113 (a). if (document.images) { 14. This documentation must be available in hard-copy or electronic format for inspection by the board. All medication properly labeled. About Us The Texas State Board of Pharmacy is the state agency responsible for the licensing/registration of Texas pharmacists, pharmacy technicians, and pharmacies; for establishing regulations for pharmacy practice; and for disciplining licensees and registrants. We will provide training at no cost to boards. Subchapter C, Chapter 57, Texas Occupations Code, establishes and governs the Regulatory Compliance Division. NABP does not issue a certificate of inspection or make any determination of passed or compliant with regard to any specific state regulations. )/9xpXyN|3O,D\ 74TPxj%A`e+9F%M"IFA{P @UXs&]MYxL4_2cde`V4n %yw23097Mebs,Y6iS0r##b&q m,2a`cy2m (.BU1CSC[V b [64B16-28.108 F.A.C.] 0000011218 00000 n 110-49 Credentials for Nonresident Pharmacy Dispensing only for Animals, effective August 6, 2020 Guidance Concerning Disciplinary Processes and Standard Sanctions for Violations and Inspection Deficiencies 110-9 Pharmacy Inspection Deficiency Monetary Penalty Guide effective November 25, 2021 (pdf) After the . The information collected about a pharmacy when it goes through a VPP inspection equips you with the detailed information you need to make accurate, fully informed licensing and license renewal decisions. We will arrange for you to speak with one of our senior federal defense lawyers as soon as possible. Log in to your business e-Profile account and visit the Instructions and FAQs section to access pricing. The goal of an inspection is to safeguard the health and safety of consumers. 1486 0 obj <>stream Member boards seeking to enhance their inspection processes have identified us as their best option for assistance. We developed several accreditations to provide uniform standards that enhance pharmacy practice and protect public health. 0000038067 00000 n H\j }X4!B.zi IVhs*0?#dzmyZDpe9(-=[8u8XY TIP: The inspector is allowed to take samples of products (e.g. 0000022736 00000 n g9~7S {g.cpTz^|wS(C^!E>+Q1~ r? About Us The Texas State Board of Pharmacy is the state agency responsible for the licensing/registration of Texas pharmacists, pharmacy technicians, and pharmacies; for establishing regulations for pharmacy practice; and for disciplining licensees and registrants. During the inspection, the . Pharmacy licenses (resident and nonresident) and pharmacist-in-charge licenses are verified to ensure they are active and in good standing in all jurisdictions in which they are doing business. 0000004842 00000 n 125 0 obj <> endobj NABP conducts an unannounced on-site inspection of your pharmacys activities, All business e-Profile information is accessible to the state boards of pharmacy to view, The board staff receives alerts when new documents are available on the business e-Profile for pharmacies that are licensed and or seeking licensure, Must be a licensed pharmacy operating in the United States, with current and active licenses in good standing, in all jurisdictions in which it is conducting business, Business location must be operational in all its activities for at least 30 days, If sterile compounding, the pharmacy must have certification reports dated within six months of application payment date, The pharmacy is not currently the subject of one or more serious health care-related disciplinary or criminal proceedings or regulatory or law enforcement investigations including, without limitation, product or document seizures. Determine whether vulnerabilities exist for internal diversion. COPZ]ffp Ny+\oF{{A95cd@lM;V Lb&=9mPEY'uC.RB xref NABPs Verified Pharmacy Program (VPP) is the most widely recognized multistate, uniform inspection program accepted by state boards of pharmacy across the nation. Protecting the public health against ongoing threats to our nations drug supply chain. 0000024672 00000 n Create your free business e-Profile account today. Agree that the inspectors/compliance officers will participate in annual training. H\@=OQEn&dy ! .|1=@qRn}};]3kvpM[OTCu}wtt:wic|oc;_a/t/D^M:N?Ct|$x:UwYH+?g=Oj//eY__W+-yC~g~G`Ns,d^"2 /2m6oL [B#. Speak with a Federal Defense Lawyer about Your DEA Pharmacy Inspection. if (document.images) { The Regulatory Compliance Division was authorized by Senate Bill 1995 during the 86th Regular Legislative Session and is established in accordance with Subchapter C, Chapter 57, Texas Occupations Code. The state determines a facilitys compliance based on the findings of the inspection, and completion of the inspection does not imply our endorsement or approval. The third-party pharmacy inspection program most widely recognized by state boards of pharmacy across the nation. 0000014097 00000 n Report fraud, waste, or abuse of state resources to the State Auditor's Officeor call (800) 892-8348. font size, Please use this document to prepare for your, For questions and reporting USP related issues please email, Pharmacy Inspection Form - Nuclear Pharmacy, Sterile Compounding Inspection Requirements, Essential Elements of Compounded Sterile Preparations, Sterile Compounding eLearning Course Curriculum 29 lessons with 34 hours of CE, Inspection Form Version 1 September 2015. Department of Health 4052 Bald Cypress Way, Bin C75 Tallahassee, Florida 32399-3260 Pharmacy inspection (COMAR 10.34.19.17): Pharmacies will be inspected by the Board at least annually. The first step in the process is to apply for a VPP Inspection. hbbd```b``Q AD2H`\Vvgx40[6 `l(,H2@"I?v9do>6DW `sl1F+Xyf20 ?7 D After conducting its review of a proposed rule, the division issues a determination letter approving or rejecting the rule. Reducing regulators workloads for inspection compliance. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); To apply for an NABP inspection, businesses must meet basic eligibility requirements. (1) The pharmacist-in-charge shall be responsible for taking all required inventories, but may delegate the performance of the inventory to another person (s). Motorist's safety is a top priority in Texas; as a result, vehicles registered in Texas are required to pass an annual inspection to ensure compliance with safety standards. Attn: Regulatory Compliance Division Application Processing Timeframes. Copyright 2020 National Association of Boards of Pharmacy (NABP). 0000004408 00000 n Pharmacy Inspection Checklists/Forms Usually, each State Board of Pharmacy has a specific checklist or form that is completed by the inspector on the date of the inspec-tion.1 State Board of Pharmacy focus areas for inspections may also be ascertained by review of State Board of . Look here for information about the Board's mission, Compact with Texans, policies and guidelines, members, staff, public . This page will be updated with inspection forms used by the Drug Control Division during inspections inside the State of Connecticut. 0000007246 00000 n Ensuring that any pharmacist, even floater pharmacists, can quickly find records for an inspector. 0000005586 00000 n Submit this page only after all items on this checklist are completed. IAdminfootr01a_01_03o = new Image(226, 28);IAdminfootr01a_01_03o.src = '/images/tac_nav_over.gif'; function dm(msgStr) { and scope of a State Board of Pharmacy's inspection authority. It is recommended that individuals that intend to utilize these forms obtain a copy from the website each time to ensure that the most current form is utilized. Pharmacy Inspection Form - Compliance Several states recognize NABP accreditation as a prerequisite for licensure. The divisions review process ensures that there is sufficient legal authority for proposed rules that may be anticompetitive, thus providing important protections for Texas consumers, licensed professionals, and state boards and their volunteer members. Apply for VPP as a standalone program or maximize your investment by creating a comprehensive compliance package for one streamlined, cost-effective accreditation process. If you want to use your own sterile compounding inspection form, we will first crosswalk or compare it to the Universal Inspection Form. window.status = msgStr; 12/2020) Pennsylvania Pharmacy Board Inspection Guide 0000002900 00000 n Create your free business e-Profile account today. [64B16-28.702(2)(b)(c)(d), FAC.] r#1Wt)#I9(0p}dGX ^_Y( vizB~Y>U3Z8 @u>`zT{9 B(ED9^NI.[KT*u2h\HBwKapK 09"X,EAt:SfM-6=kg#a{ YadIR++ U8#)8# 43PAZH MAv)(m w%|M a8 d=.1y]:XT)R"0Iz MK;\, IAdminfootr01a_01_01 = new Image(52, 28);IAdminfootr01a_01_01.src = '/images/home_nav.gif'; 0000037594 00000 n gD.DO\p`jF>nY\DjwDa7qJz@ K+/%!N'\Q GF>!\@Cm"5c.z~kmW-aMXI)T [64B16-28.702(5), FAC.] Pharmacy inspections will not change, but the report pharmacies receive will. 0000099488 00000 n Review the policy information prior to starting the VPP application. Office of the Governor CE Checklist; Dispensing Tech in Training Certification of 500 Hours; Hotline Form; Managing Pharmacists Certification of Trainee Hours; . 0000012169 00000 n State Insurance Building If you would like to request documents relating to the divisions review of a proposed rule maintained by the Office of the Governor, you may use the Texas Public Information Act Request Form or follow the offices instructions for making a public information request. Dont have an account? Welcome to the Department of Consumer Protection, Drug Control Division Inspection Form webpage. The self-inspections are completed on forms the commission provides. For more information, please send us a messageor call512-463-8500. Records reflect on-site consultations by consultant pharmacist at least monthly unless otherwise directed by Board. PA Pharmacy Board Inspector Checklist Item . effective alternate dosage form) or if the drug product is not commercially available. Complete responsibility for compliance falls on the pharmacy owners. For questions and reporting USP related issues please emailDCP.DrugUSPcompounding@ct.gov. P.O. . +7q` 8&x f[-2p` Tqc Qq&Y?QFSM8( Xf(?+G5L; a Conduct a criminal background check after consulting with your State police agency or pharmacy association; Consult your State pharmacy board to determine whether any prior disciplinary action has been taken against the potential employee; and Conduct a financial background check. %%EOF The state determines a facilitys compliance based on the findings of the inspection, and completion of the inspection does not imply our endorsement or approval. IAdminfootr01a_01_03 = new Image(226, 28);IAdminfootr01a_01_03.src = '/images/tac_nav.gif'; startxref The Verified Pharmacy Program (VPP) provides boards of pharmacy with inspection and license verification services and ensures that you have complete and accurate information to make pharmacy licensure decisions. Z/*Fg"^Z"b!"E}}CCccSSssKK"Ftkw$s|x: >NH6` qw~ w TNcc Referral Letter to the Texas State Board of Pharmacy Issued 03/24/2021 (PDF - 249KB) Untitled Letter Issued 09/29/2020 (PDF - 182KB) 483 Issued 11/08/2018 (PDF - 468KB) Create and complete a business e-Profile account: Once your request has been submitted, it may take up to 3 business days for processing. A VPP inspection is conducted by our inspectors and, when applicable, verifies compliance with United States Pharmacopeia Chapters <795> and <797>. Senate Bill 1995 was passed in response to the United States Supreme Courts decision in North Carolina State Board of Dental Examiners v. Federal Trade Commission and guidance later issued by the Federal Trade Commission. Designated Pharmacist - means a pharmacist responsible for overseeing the compounding of sterile pharmaceuticals and the application of the USP chapters, as said chapters pertain to sterile compounding. We will work with you on any changes that must be made to ensure uniformity across participating states. Prescription Drug Abuse Prevention. // The java used for navigation in the Public OM page 0000034658 00000 n It is the responsibility of the individual designated pharmacist to acquire the appropriate number of hours from the areas outlined above and maintain a records of the courses that have been completed. hXmo6+bh$Ydiri]&jb3kHK\_ bZHJzD2/ ## cxdDhG$YR,eHI4GRYfM dpO 4+`U'`)PpKsYJOh"`C%kF|vWP%R>k "-^k"}C)Q(P!PR@QCKK$?Dzjp"3#I1MAAx~A0nsPcAd*C3 L0EEicsy4(\1c1=gL(;>Ov<8NSq]&yR&nj1r*y^pLn#zV$=0fp:kxTknwNjC'W,g0t7)YOh@1j1FF ]&yM;-'eZZ{6 iK"*)hzW({B_ThBS ,6K?Ns@Z.3@T1gQ5alj+vK&k'XdVeoqqIp+8Fb;:Hivp."/X$s]g_N?_s`q>]ZkgIN,352_CV\E.5TY @0-4_'(Yvi7=P|bsa2Lz,V8!Ay$sH|{sa_Z,H*?~RW%YVfua \l8ioB. 0000003114 00000 n Inspect the sterile compounding pharmacies no less than once every 18 months. %PDF-1.2 % States requiring pharmacies and distributors to undergo a preoperational inspection will find our Preoperational Inspection can supplement their own inspections, reducing board staff workload and assisting with inspection requests from facilities. Apply for a Facility License. Some of the features on CT.gov will not function properly with out javascript enabled. hb```b``^[ ,@QF ?AU`6cPl]Jgk^zSo-K During the inspection, the pharmacy should provide access to: All stock of dangerous drugs and devices; All records of manufacture, sale, acquisition, receipt, shipment and disposition. The following proposed rules are currently under review by the division. Through this program, our surveyors perform the pharmacy inspection at no cost to you. suppliers inspection, disciplinary, and licensing data, Inspection sharing across states through NABP. Learn more. 0000030857 00000 n // regular 0000001276 00000 n Inspections and Compliance staff also investigate complaints and review disclosure information concerning persons and firms registered with the Texas Securities Commissioner. b 42P+1@$Dvbtp(,o/s#cMu30a2|N_t|k"#! Austin Texas 78711 H< *xLJH3Bi= Vf``dde f9L}f9R390Y 1600 Feehanville Dr Mount Prospect, IL 60056. Senate Bill 1995 was passed in response to the United States Supreme Court's decision in North Carolina State Board of Dental Examiners v. Complete the form belowfor more information about how we can help enhance your inspection processes. (A) All pharmacists engaged in compounding shall: (i) possess the education, training, and proficiency necessary to properly and safely perform compounding duties undertaken or supervised; and (ii) obtain continuing education appropriate for the type of compounding done by the pharmacist. Helping get the inspector in and out of your pharmacy fast, while leaving a good impression. The checklist may be done on paper or electronically and must be completed prior to . Texas State Board of Pharmacy Yes Yes. [/\Z. i$;ldS*u3FZ1?*ZtqBx`SZbxYlQ( 9nGs \,a;^pkJ ssfW; 4bH~)t `=gK`RL)E]b8u"*<7XV:\6N&K vHf js %=OezW 0000036815 00000 n 0000099563 00000 n Learn more about how our accreditation programs ensure public safety. (2) The inventory shall be maintained in a written, typewritten, or printed form. 0000002098 00000 n 0000034619 00000 n IAdminfootr01a_01_04 = new Image(123, 28);IAdminfootr01a_01_04.src = '/images/om_nav.gif'; and other areas that are in close proximity to the ISO Class 5 environment during the certification of the primary engineering control. Working together to create a state-based program of robust inspection processes. document.returnValue = false; The division may not consider anonymous comments. The information collected about a supplier when it goes through an inspection equips your board with the detailed information needed to make accurate, fully informed licensing and license renewal decisions. Note: This guideis simply a guideline and should not be considered a guarantee of state inspection passage and neither R.J. Hedg es nor PPA makes any warranties of such. The on-site inspections are generally scheduled in advance and are focused on registered investment advisers and those registered dealers who are located in Texas but are not members of the Financial Industry Regulatory Authority (FINRA). immediate reporting of significant violations of state and federal law. endstream endobj 142 0 obj <> endobj 143 0 obj <>stream )Av0Yq"K % ) C%rY+\3ODh|X3AHzq hPdFr0j. These agencies are only required to submit rules that the agency has determined affect market competition or that the division has identified as possibly affecting market competition. Pharmacy has policy and procedures manual available for inspection. 0000030593 00000 n TEXAS STATE BOARD OF PHARMACY INSPECTION REPORT CLASS: A B C (BEDS____) D Name of Pharmacy TSBP License # . View Rule Submission Memorandum for Rules 361.1, 361.4, 361.6, 361.10, 361.12, and 361.15. This subchapter was added to the Texas Occupations Code by Senate Bill 1995 during the 86th Regular Legislative Session. RJH Form F0904 (07/17/2014 - Rev. Attn: Regulatory Compliance Division Admin. To view the divisions determination letters, please visit the Determination Letters page. 0000004520 00000 n A state agency may not finally adopt or implement a proposed rule under the divisions review until the division has approved the rule or the agency has revised the rule according to the divisions instructions. This inspections focus is adopted from our Drug Distributor Accreditation and provides a snapshot of a suppliers operations at a point in time. The division reviews proposed rules that affect market competition to assess their consistency with state policy as clearly articulated by the Legislature in state statute. Attest that the inspectors/compliance officers who conduct these inspections receive qualified NABP-approved training. Licensees are subject to unannounced on-site inspections at anytime. A VPP inspection is conducted by our inspectors and, when applicable, verifies compliance with United States Pharmacopeia Chapters <795> and <797>. View Rule Submission Memorandum for Rules 361.1, 361.4, 361.6, 361.10, 361.12, and 361.15. //help_ftr_01_05o = new Image(38, 28);help_ftr_01_05o.src = '/images/help_nav_over.gif'; 1405 0 obj <> endobj Applicants. 0 State-wide Laws, Regulations, and Guidance Related to Opioids The Texas Controlled Substances Act is found in the State's Health and Safety Code, Title 6, Subtitle C, Chapter 481 and defines the State Board of Pharmacy's role in identifying harmful prescribing behaviors by requiring: o Healthcare providers to access the Texas endstream endobj 1406 0 obj <>/Metadata 66 0 R/Names 1446 0 R/OpenAction 1407 0 R/Outlines 175 0 R/PageLayout/SinglePage/Pages 1399 0 R/StructTreeRoot 186 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1407 0 obj <> endobj 1408 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Shading<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 1409 0 obj <>stream Source Note: The provisions of this 291.133 adopted to be effective December 10, 2013, 38 TexReg 8869; amended to be effective September 11, 2014, 39 TexReg 7128; amended to be effective June 11, 2015, 40 TexReg 3647; amended to be effective September 14, 2015, 40 TexReg 6111; amended to be effective June 12, 2016, 41 TexReg 4257; amended to be effective September 11, 2016, 41 TexReg 6718; amended to be effective January 4, 2018, 42 TexReg 7700; amended to be effective September 16, 2018, 43 TexReg 5784. The division welcomes public comments on the proposed rules currently under review. P.O. D pharmacy 79 Nametags 50 Out of state verbal Rx for C/S 64 Violation of limited formulary . If you have a course that you would like to submit for approval please send the course to. Use either the Universal Inspection Form Sterile Compounding Module (Universal Inspection Form) or the states sterile compounding inspection form, which has been reviewed by our staff to ensure that it meets the Inspection Blueprint standards. records at any time with secure access 24/7. Administrative, civil, or criminal penalties may be imposed in cases where violations of the applicable securities laws and regulations are detected through inspections or investigations. 0000004117 00000 n 0000042574 00000 n Via NABP e-Profile Connect, you may view: The supply chain inspection is not an accreditation program, and we do not make any determination of passed or compliant with regard to any specific state regulations. This documentation must be available in hard-copy or electronic format for inspection by the board. Affected state agencies are required to submit all proposed rules affecting market competition, including new rules, rule amendments, rule repeals, and rules that the agencies propose to readopt or repeal after a review under Section 2001.039, Texas Government Code. Look here for information about the Board's mission, Compact with Texans, policies and guidelines, members, staff, public . 1100 San Jacinto Submit the application for one or multiple locations. . 125 49 if (showMsg) { Get started on your path to an inspection by following the steps below: Use the Apply link to log in to NABP e-Profile and start the application process. OS[Obz>O6oy9I@#;:+G:*eEEo, =2.'"F?zOb&u)'3f}Mu]};NF0;. WHAT THE BOARD EXPECTS FROM YOU The Board of Pharmacy appreciates your cooperation during this inspection. Our Supply Chain Inspection service is a regulatory inspection for facilities engaged in the distribution of prescription drugs and prescription medical devices. It could be because it is not supported, or that JavaScript is intentionally disabled. The division must complete each review not later than the 90th day after the date the proposed rule was submitted to the division. To speak with a member of our federal defense team about your DEA pharmacy inspection, please call 888-680-1745 or contact us online. OVERVIEW. OVERVIEW. The Multistate Inspection Blueprint Program supports states that have the resources to perform resident inspections by providing the Inspection Blueprint, a living document that includes a minimum set of criteria for pharmacy inspections. Please be aware that all information you submit to the division is subject to public disclosure under the Texas Public Information Act. In order for comments to be considered by the division, they must be submitted to the division in writing not later than the deadline provided by the division on this website. The new inspection rules require all pharmacies to conduct an annual self-inspection in March and within 30 days of naming a new pharmacist in charge. Pharmacy. /uploadedFiles/bopnvgov/content/Forms/Inspection/AmbulatorySurgeryCenterInspectionForm.pdf, /uploadedFiles/bopnvgov/content/Forms/Inspection/DispensingPractitionerInspForm.pdf, /uploadedFiles/bopnvgov/content/Forms/Inspection/InstitutionalPharmacyInspectionForm.pdf, /uploadedFiles/bopnvgov/content/Forms/MDEG Inspection Form 10.19.2022.pdf, /uploadedFiles/bopnvgov/content/Forms/Non-Sterile Compounding Inspection Form updated 3.23.20.pdf, /uploadedFiles/bopnvgov/content/Forms/RetailPharmacyInspectionForm7.20.2022.pdf, /uploadedFiles/bopnvgov/content/Forms/Retail Pharmacy Pre-inspection form updated 3.26.2020.pdf, /uploadedFiles/bopnvgov/content/Forms/Sterile Compounding Inspection Form updated 3.25.20.pdf, /uploadedFiles/bopnvgov/content/Forms/VDS-Inspection-Form(1).pdf, /uploadedFiles/bopnvgov/content/Forms/WH-WA-MA_Inspection Form 10.19.2022.pdf, /uploadedFiles/bopnvgov/content/Forms/01-November 2021.pdf, /uploadedFiles/bopnvgov/content/Forms/01-December 2021.pdf, /uploadedFiles/bopnvgov/content/Forms/JANUARY 2022.pdf, /uploadedFiles/bopnvgov/content/Forms/February 2022.pdf, /uploadedFiles/bopnvgov/content/Forms/March 2022.pdf, /uploadedFiles/bopnvgov/content/Forms/April 2022.pdf, /uploadedFiles/bopnvgov/content/Forms/May 2022.pdf, /uploadedFiles/bopnvgov/content/Forms/June 2022.pdf, /uploadedFiles/bopnvgov/content/Forms/July 2022.pdf, The Official State of Nevada Website | Copyright 2021 State of Nevada - All Rights Reserved, Dispensing Tech in Training Certification of 500 Hours, Managing Pharmacists Certification of Trainee Hours, Biennial Report - July 1, 2008 - June 30, 2010, Biennial Report - July 1, 2006 - October 31, 2008, Ambulatory Surgery Center Inspection Form, Retail Pharmacy Pre-Inspection Form (New Pharmacies Only), Wholesaler, Warehouse and Manufacturer Inspection Form. 0000002761 00000 n Program(s) of Interest (select all that apply). Thestate determines a facilitys compliance based on the findings of the inspection, and completion of the inspection does not imply our endorsement or approval. %PDF-1.6 %