(a) In order to provide a mechanism by which facility operations, policies and procedures can be monitored, evaluated and improved, each facility shall internally review and assess all incidents of a serious or potentially problematic nature, and report such incidents to the commission pursuant to the requirements of this Part.

(b) Consistent with the requirements of this Part, the director shall develop written policies and procedures that govern the reporting of facility incidents to the commission. These policies and procedures shall be reviewed annually and updated as needed.