Who determines the need for additional inspections outside the annual schedule for residential care homes?

The determination for additional inspections outside the annual schedule for residential care homes is made by the state department. This is because state departments are responsible for regulating and ensuring compliance with laws and standards that govern residential care and assisted living facilities. They monitor the quality of care, assess compliance with regulations, and respond to any potential risks or issues that may arise.

The state department evaluates various factors such as program performance, reported incidents, and overall resident care to decide if there's a need for an unscheduled inspection. They have the authority and resources to conduct thorough investigations when community complaints or other indicators suggest that a facility may not be meeting safety or care standards. This oversight is vital to maintaining quality of care and protecting the residents in these facilities.