(a) Before the Texas Health and Human Services Commission (HHSC) initiates proceedings to revoke a license, suspend a license, or deny a license renewal, HHSC gives a licensee:(1) a description of the alleged rule violation warranting the proposed sanction; and(2) the option to:(A) request an informal review to demonstrate that the licensee did not violate nursing facility administrator (NFA) licensure rules or commit the alleged violation; or(B) request a formal hearing; or(C) accept the sanction.(b) A licensee's request for an informal review must:(1) be received by HHSC within 10 calendar days after the licensee receives the notice letter from HHSC; and(2) contain documentation that refutes the allegations.(c) HHSC conducts the informal review:(1) by telephone;(2) in person; or(3) by reviewing the licensee's written response and supporting evidence.(d) HHSC provides the licensee with official notice of the outcome of the informal review.