(1) An EDC shall implement and maintain an active quality assessment program using information collected to make improvements in the EDC's policies, procedures, and services. The program must include procedures for:

(a) conducting client satisfaction surveys, at least annually, for all eating disorder services.

(2) The client satisfaction survey must address:

(a) whether the client, parent, or legal guardian is adequately involved in the development and review of the client's plan of care;

(b) whether the client, parent, or legal guardian was informed of client rights and the EDC's grievance procedure;

(c) the client's, parent's, or legal guardian's satisfaction with the EDC services in which the client participated;

(d) the client's, parent's, or legal guardian's recommendations for improving the EDC's services; and

(e) reviewing, on an ongoing basis, incident reports, grievances, complaints, medication errors with special attention given to identifying patterns and making necessary changes in how services are provided.

(3) The EDC shall prepare and maintain on file an annual report of improvements made as a result of the quality assessment program.