77 Ill. Adm. Code 280.4010
Licensure of Hospice Residences
Section 280
Section 280.4010Â Licensure
of Hospice Residences
a)
The number of licensed hospice residences shall not exceed
48
.
(Section 9(c)(9) of the Act)
b)Â Â Â Â Â Â Â Â An applicant shall submit a hospice residence license
certificate application on forms provided by the Department. The application
shall be made under oath and shall contain the following information:
1)Â Â Â Â Â Â Â Â All information required by Section 280.1020(a)(1) through (15);
2)Â Â Â Â Â Â Â Â Proposed staffing;
3)Â Â Â Â Â Â Â Â Documentation of a needs assessment and cost analysis of the
establishment, licensing and maintenance of the proposed facility; and
4)Â Â Â Â Â Â Â Â Documentation of approval by the governing body of the
applying licensed hospice program to proceed with application; commitment to
expend necessary funds for application and completion of the project; and
assignment of responsibility for moving forward with the
application/implementation.
c)Â Â Â Â Â Â Â Â An application for licensure as a hospice residence shall be
accompanied by a fee of $500.
d)Â Â Â Â Â Â Â Â Upon receipt and review of a complete application for
licensure, the Department will award license certificates to applicants who
meet the requirements in Section 280.4015, in the following geographic areas,
in the order in which completed applications are received by the Department:
1)
16
hospice residences located in counties with a
population of 700,000 or more
;
2)
16
hospice residences located in counties with a
population of 200,000 or more but less than 700,000
; and
3)
16
hospice residences located in counties with a
population of less than 200,000
. (Section 9(c)(9) of the Act)
e)Â Â Â Â Â Â Â Â A license certificate shall be valid for two years from the
date of issuance and may be renewed by the Department for an additional year,
for a total of three years. Renewal of the license certificate for a third
year will be based on but not limited to, submittal of the following
information:
1)Â Â Â Â Â Â Â Â Documentation of the obligation of funds for the applicant
residence project by the hospice residence organization;
2)Â Â Â Â Â Â Â Â Letting of contracts for construction, purchase or renovation
of physical space to be licensed as a hospice residence;
3)Â Â Â Â Â Â Â Â Architectural or construction certifications as to the
percentage of completion of the hospice residence project; and
4)Â Â Â Â Â Â Â Â For buildings owned by the full hospice, the name, address,
telephone number, occupation, and percentage of direct or indirect financial
interest of five percent or more in the legal entity that owns the building or
proposed building. For leased buildings, the name, address and telephone
numbers.
f)Â Â Â Â Â Â Â Â By the end of the third year, any license certificate not
converted to a full license will be void.
g)Â Â Â Â Â Â Â Â The Department will issue available license certificates to
the next complete, geographically appropriate applicant, in the order received
by the Department.
h)Â Â Â Â Â Â Â Â Upon receipt of the completed application and notification by
the hospice residence applicant that the facility is complete and ready for
licensure, the Department will conduct an inspection to determine compliance
with the Act and this Part.
i)Â Â Â Â Â Â Â Â Â If the hospice residence is found to be in substantial
compliance with the Act and this Part, the Department will issue a license that
expires on the same date as the comprehensive or volunteer hospice program
license.
1)Â Â Â Â Â Â Â Â The license is not transferable; it is issued to the licensee
and for the specific location; and
2)Â Â Â Â Â Â Â Â The license will become automatically void and shall be
returned to the Department if a hospice residence's comprehensive or volunteer
license is revoked, not renewed, relinquished, denied, forfeited or suspended.
j)Â Â Â Â Â Â Â Â Â An application for license renewal shall be filed with the
Department 60 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 (b) and (c).
2)Â Â Â Â Â Â Â Â A letter from the Office of the State Fire Marshal shall
accompany the application certifying that the hospice residence physical plant
meets the provisions of Section 280.4040.
3)Â Â Â Â Â Â Â Â Pursuant to Section 10-65 of the Illinois Administrative
Procedure Act, licensees who are individuals are subject to denial of renewal
of licensure if the individual is more than 30 days delinquent in complying
with a child support order.
4)Â Â Â Â Â Â Â Â Upon receipt and review of a complete application for license
renewal, the Department will conduct a survey. The Department will renew the
license in accordance with subsection (i).