1. If issues pertinent to certification or professional ethics arise during an accreditation review, the chair of the site team will document the issue(s) and convey the information to the center and to the Regional Accreditation Chair. The Regional Accreditation Chair conveys the information to the Commission chair who conveys the information to the appropriate commission chair.

2. Following cross commission review, the receiving commission will report action taken in response to the referral to the commission that placed the referral.