77 Ill. Adm. Code 350.120
Application for License
Section 350
Section 350.120Â Application
for License
a)
Application
for a license to establish or
operate
an ID/DD
facility
shall be made
in writing and submitted
to
the Department
on forms
furnished by the Department
. (Section
3-103(1) of the Act)Â The facility shall provide a written description of the
proposed program and other information that the Department may require to
determine the appropriate level of licensure. Â The application form and other
required information shall be submitted and approved prior to surveys of the
physical plant or review of building plans and specifications.
b)Â Â Â Â Â Â Â Â An application for a new facility shall be accompanied by a
permit as required by the Illinois Health Facilities Planning Act.
c)
The application shall be under oath and the submission of
false or misleading information shall be a Class A misdemeanor. The
application shall contain the following information:
1)
The name and address of the applicant if an individual, and
if a firm, partnership, or association, of every member thereof, and in the
case of a corporation, the name and address thereof and of its officers and its
registered agent, and in the case of a unit of local government, the name and
address of its chief executive officer;
2)
The name and location of the facility for which a license
is sought;
3)
The name of the person or persons under whose management or
supervision the facility will be conducted;
4)
The number and type of residents for which maintenance,
personal care, or nursing is to be provided; and
5)Â Â Â Â Â Â Â Â Information
relating to the number, experience, and
training of the employees of the facility, any management agreements for the
operation of the facility, and of the moral character of the applicant and
employees as the Department may deem necessary.
(Section 3-103(2) of the
Act)
d)Â Â Â Â Â Â Â Â Ownership Change or Discontinuation
1)        The license is not transferable. It is issued to a specific
licensee and for a specific location. The license and the valid current
renewal certificate immediately become void and shall be returned to the
Department when the facility is sold or leased; when operation is discontinued;
when operation is moved to a new location; when the licensee (if an individual)
dies; when the licensee (if a corporation or partnership) dissolves or
terminates; or when the licensee (whatever the entity) ceases to be.
2)Â Â Â Â Â Â Â Â A license issued to a corporation shall become null, void and
of no further effect upon the dissolution of the corporation. Â The license
shall not be revived if the corporation is subsequently reinstated. A new
license shall be obtained.
e)
Each initial application shall be accompanied by a
financial statement setting forth the financial condition of the applicant and
by a statement from the unit of local government having zoning jurisdiction
over the facility's location stating that the location of the facility is not
in violation of a zoning ordinance. An initial application for a new facility
shall be accompanied by a permit as required by the Illinois Health Facilities
Planning Act. After the application is approved, the applicant shall advise
the Department every 6 months of any changes in the information originally
provided in the application.
(Section 3-103(3) of the Act)
f)Â Â Â Â Â Â Â Â The
Director
may issue licenses or renewals for
periods of not less than 6 months nor more than 18 months
for facilities
with annual licenses and not less than 18 months nor more than 30 months for
facilities with 2-year licenses
in order
to distribute the
expiration dates of
such licenses throughout the calendar year.
(Section
3-110 of the Act)