The facility shall develop procedures and implement a quality management process. The procedures shall address at a minimum:(1) goals and objectives that relate to the program purpose or mission statement;(2) methods to review the progress toward the goals and a documented process to implement corrections or changes;(3) a mechanism to review and analyze incident reports, monitor compliance with rules and other requirements, identify areas where quality is not optimal and procedures to analyze identified issues, implement corrections, and evaluate and monitor their ongoing effectiveness;(4) methods of utilization review to ensure appropriate client placement, adequacy of services provided and length of stay; and(5) documentation of the activities of the quality management process.