(1) Refresher courses located outside the state of Washington shall be reviewed individually for approval by the commission and must meet curriculum and clinical practice standards identified in WAC 246-840-563 and 246-840-564, or 246-840-566.

(2) The nurse administrator shall hold an active, unencumbered RN license in the state of the program's domicile location and have a bachelor's degree in nursing with a graduate degree in nursing from a nursing accredited nursing education program, or bachelor's degree in nursing from a nursing education accredited program and a graduate degree from a health-related field from an accredited university.

(3) The commission may:

(a) Approve a refresher program for no longer than five years;

(b) Deny approval of a refresher program;

(c) Withdraw approval of a refresher program;

(d) Place a program on warning or conditional approval status;

(e) Make on-site visits to determine compliance with commission requirements for initial or ongoing approval, or to investigate a complaint;

(f) Require a program to submit a plan of correction; or

(g) Issue a directed plan of correction.

(4) A refresher program wishing to contest a decision of the commission affecting its approval status shall have the right to appeal the commission's decision in accordance with the provisions of chapter 18.79 RCW, chapter 34.05 RCW, the Administrative Procedure Act, and chapter 246-11 WAC.