West Virginia Code § 16B-3-5a

Notwithstanding any other provision of this article, a periodic license inspection shall not be
conducted by the Office of Health Facility Licensure and Certification for a hospital if the
hospital has applied for and received an exemption from that requirement: Provided, That no
exemption granted diminishes the right of the Office of Health Facility Licensure and
Certification to conduct complaint inspections. e
The Office of Health Facility Licensure and Certification shall grant an exemption from a
periodic license inspection during the year following accreditation if a hospital applies by
submitting evidence of its accreditation by the Joint Commissionu on Accreditation of Health
Care Organizations or the American Osteopathic Association, or any accrediting organization
approved by the Centers for Medicare and Medicaid Servicets, and submits a complete copy
of the accrediting organization's accreditation report.
If the accreditation of a hospital is for a period longer than one year, the Office of Health
Facility Licensure and Certification may conduct atl least one license inspection of the
hospital after the first year of accreditation ansd before the accreditation has expired and
may conduct additional license inspections if needed. Hospitals receiving a three-year
accreditation shall conduct annual self-evaluations using the current year accreditation
manual for hospitals unless the Officge of Health Facility Licensure and Certification informs
the hospital that the hospital will be inspected by the Office of Health Facility Licensure and
Certification. Hospitals are noet required to conduct self-evaluations for any calendar year
during which they are inspected by the Office of Health Facility Licensure and Certification.
These self-evaluations sLhall be completed and placed on file in the hospital by March 31 of
each year. Hospitals shall make the results of the self-evaluation available to the Office of
Health Facility Licensure and Certification upon requested.
Accreditation reports filed with the Office of Health Facility Licensure and Certification shall
be treated as confidential in accordance with §16B-3-10 of this code.

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