An accredited center is obligated to remain in compliance with all ACPE Standards, Policies, and Procedures. A center’s compliance is measured by:

  1. Center self-identification.
  2. Areas of non-compliance found during an annual review of the center’s portfolio.
  3. Areas of non-compliance found during a site visit.

Center Self-Identification of Non-Compliance

A center that identifies an area of non-compliance shall immediately inform their assigned commissioner in writing. The center describes the area of non-compliance found, a plan to return to compliance, and a demonstration of how their plan has worked. If the center is not able to demonstrate the efficacy of their plan due to timing issues, it shall provide this information as soon as possible.

The identification of non-compliance, as well as all related documentation, will be a part of the center’s portfolio that is reviewed annually. If the center does not demonstrate compliance within six months, additional action will be taken by the Commission, which may include an adverse action.

Non-Compliance Identified During an Annual Portfolio Review or Site Visit

When an area of non-compliance is found during an annual portfolio review or a site visit, the center will be issued a Letter of Non-Compliance from the Accreditation Commission outlining the area(s) of non-compliance and what the center needs to do to return to compliance.

The center must return to compliance within six months or one year, as specified by the Commission. The return to compliance shall be documented in the center’s portfolio and will be reviewed by a Commission Reviewer who is assigned by the Chair of the Commission, with a final determination of compliance made at the next regularly scheduled meeting of the Commission. If the center does not demonstrate a return to full compliance, additional action will be taken by the Commission, which may include an adverse action.

Recurring Incidents of Non-Compliance

If a center has a repeat of non-compliance for the same area, after having returned to compliance, the Commission shall require a consultation with the ACPE Certified Educator. The Commission shall determine if the consultation may be via phone/video conference or if an in-person meeting, at the center’s expense, is required.