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<regulation prefix="Regulation" num=".04" citation="COMAR 10.12.04.04" title_num="10" subtitle_num="12" chapter_num="04" heading="Licensing Procedure.">
  <paragraph num="A.">
    <text>Letter of Interest.</text>
    <paragraph num="(1)">
      <text>A person desiring to obtain initial licensure for an adult day care center shall submit a letter of interest to the Office of Health Care Quality that contains the following:</text>
      <paragraph num="(a)">
        <text>Policies and procedures that address medical record completion and retention, the administration and storage of medications, nutrition services, social work support, employee criminal background checks, transportation of participants and participant activities;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Identification of the individual or individuals or business entity that will own and operate the adult medical day care program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The job description and qualifications for each position;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The projected hours of operation, daily census, and the staffing plan that addresses both licensed and non-licensed staff coverage; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Verification that the structural design plans for the proposed adult medical day care program have been forwarded to the Department’s Plans Review and Approval Unit.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An application for licensure may not be accepted by the Department until the information submitted in the letter of interest is reviewed and approved.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A letter of interest is not required for licensees seeking renewal.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Upon approval of the letter of interest, an application for licensure shall be submitted on the form developed by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Investigation of Application. The Department's authorized representative shall interview the prospective licensee and inspect the proposed center.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Issuance of License. When the Department determines that the center has submitted a complete application, and that the center is in compliance with this chapter, the Department shall issue a license to operate the center.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Conditions and Limitations of License. The following conditions and limitations apply to a center's license:</text>
    <paragraph num="(1)">
      <text>A license shall be issued for a 2-year period,</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department may perform a periodic re-inspection of the center at any time;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A license may not be transferable or assignable from place to place or from one person to another;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The licensee shall notify the Department of any change of ownership, and the new owner shall apply to the Department for a license; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The number of participants cared for at any one time in a center may not exceed the licensed capacity of the center.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Return of License. The current license shall become void immediately and the licensee shall return the license to the Secretary if the center:</text>
    <paragraph num="(1)">
      <text>Is sold or leased;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Ceases to operate for more than 30 consecutive days;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Moves to a new permanent location;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Has its license denied, suspended or revoked; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Changes its Ownership</text>
    </paragraph>
  </paragraph>
</regulation>