77 Ill. Adm. Code 210.1200
Application for and Issuance of a License to Operate a Postsurgical Recovery Care Center Model
Section 210
Section 210.1200Â Application
for and Issuance of a License to Operate a Postsurgical Recovery Care Center
Model
a)Â Â Â Â Â Â Â Â The applicant shall have been licensed as a hospital pursuant
to the Hospital Licensing Act or as an ambulatory surgical treatment center
pursuant to the Ambulatory Surgical Treatment Center Act on or before August
20, 1991, and have held a valid license continuously since that time.
b)Â Â Â Â Â Â Â Â Applications for a license to operate a Postsurgical Recovery
Care Center Model shall be in writing on forms provided by the Department. The
application shall be made under oath and shall contain the following:
1)Â Â Â Â Â Â Â Â Proof of a Certificate of Need to establish and operate a
Postsurgical Recovery Care Center Model issued by the Health Facilities
Planning Board under the Illinois Health Facilities Planning Act (Ill. Rev.
Stat. 1991, ch. 111½, pars. 115 et seq.) [20 ILCS 3960];
2)Â Â Â Â Â Â Â Â The name and address of the hospital or ambulatory surgical
treatment center licensee, which shall be the name of the Model licensee;
3)Â Â Â Â Â Â Â Â The name of the proposed Model;
4)Â Â Â Â Â Â Â Â The address of the proposed Model;
5)Â Â Â Â Â Â Â Â A precise description of the site of the proposed Model and,
if it is located within the hospital or ambulatory surgical treatment center,
the unit or area, including room numbers, of the portion of the facility
designated as the Postsurgical Recovery Care Center Model;
6)Â Â Â Â Â Â Â Â The number of postsurgical recovery care beds;
7)Â Â Â Â Â Â Â Â The name and address of the registered agent or other
individual authorized to receive Service of Process for the Model licensee;
8)Â Â Â Â Â Â Â Â The name, address and Illinois license numbers of the
following persons:
A)Â Â Â Â Â Â Â Administrator,
B)Â Â Â Â Â Â Â Medical Director,
C)Â Â Â Â Â Â Â Supervisory Nurse;
9)Â Â Â Â Â Â Â Â A copy of the transfer agreement with a licensed hospital
within 15 minutes travel time of the proposed Model;
10)Â Â Â Â Â Â Documentation of compliance with Section 210.2500, Laboratory,
Pharmacy and Radiological Services;
11)Â Â Â Â Â Â Documentation of Compliance with Section 210.2800, Food
Service;
12)Â Â Â Â Â Â The Model's admission protocol and transfer criteria as
required by Section 210.1800;
13)Â Â Â Â Â Â Information regarding any conviction of the owner or operator
of the proposed Model of a felony or of any other crime under the laws of any
state or of the United States arising out of or in connection with the
operation of a health care facility; and
14)Â Â Â Â Â Â Information regarding any encumbrance on a health care license
issued in Illinois or any other state to the owner or operator of the proposed
Model.
c)Â Â Â Â Â Â Â Â Schematic architectural plans must be submitted for approval
prior to submission of the application.
d)Â Â Â Â Â Â Â Â An application for initial and renewal licensure shall be
accompanied by an application fee of $500 plus $100 for each Postsurgical
Recovery Care Center Model bed.
e)Â Â Â Â Â Â Â Â Upon receipt and review of a complete application for
licensure, the Department shall conduct an inspection to determine compliance
with the Act and this Part.
f)Â Â Â Â Â Â Â Â If the proposed Model is found to be in substantial compliance
with the Act and this Part, the Department shall issue a license
for a
period of one year
. (Section 30 of the Act)
1)Â Â Â Â Â Â Â Â The license shall not be transferable; it is issued to the
licensee and for the specific location and number of beds identified in the
application.
2)Â Â Â Â Â Â Â Â The license shall become automatically void and shall be
returned to the Department if the Model's hospital or ambulatory surgical
treatment center license is revoked, nonrenewed or relinquished, denied,
forfeited, or suspended.
g)Â Â Â Â Â Â Â Â An application for license renewal shall be filed with the
Department 90-120 days prior to the expiration of the license, on forms
provided by the Department.
1)Â Â Â Â Â Â Â Â The renewal application shall comply with the requirements of
subsections (a), (b) and (d) of this Section; and
2)Â Â Â Â Â Â Â Â Upon receipt and review of a complete application for license
renewal, the Department may conduct a survey. The Department shall renew the
license in accordance with subsection (f) of this Section.
h)
The Department may issue a provisional license to any
Postsurgical Recovery Care Center
model that does not substantially comply
with the provisions of the Act
and this Part:
1)Â Â Â Â Â Â Â Â A provisional license may be issued only
if the Department
finds that
:
A)
The model has undertaken changes and corrections which upon completion
will render the model in substantial compliance with the Act
and this Part;
and
B)
The health and safety of the patients
in the Model
will
be protected during the period for which the provisional license is issued
(Section 30(c) of the Act).
2)
The Department shall advise the applicant or licensee of
the conditions under which the provisional license is issued, including
:
A)
The manner in which the model fails to comply with the
provisions of the Act
and this Part;
B)Â Â Â Â Â Â Â The changes and corrections that shall be completed;
C)
The time within which the necessary changes and corrections
shall be completed
(Section 30(c) of the Act); and
D)Â Â Â Â Â Â Â The interim actions that are necessary to protect the health
and safety of the patients.
i)Â Â Â Â Â Â Â Â Â The Postsurgical Recovery Care Center Model license or
provisional license shall be prominently displayed in an area accessible to the
public.
j)Â Â Â Â Â Â Â Â Â A Postsurgical Recovery Care Center Model licensed under this
Part shall operate in conformance with the Hospital Licensing Act or Ambulatory
Surgical Treatment Center Act and the rules promulgated thereunder,
corresponding to its primary facility license, for all matters and requirements
not specifically addressed in this Part.