LAC 48:I.5013. Changes in Licensee Information, Location, or Key Personnel

A. An HCBS license shall be valid only for the person or entity named in the license application and only for the specific geographic address listed on the license application. B. Any change regarding the HCBS provider’s entity name, “doing business as” name, mailing address, telephone number or any combination thereof, shall be reported in writing to the Health Standards Section within five working days of the change. C. Any change regarding the HCBS provider’s key administrative personnel shall be reported in writing to the Health Standards Section within 10 working days subsequent to the change. 1. Key administrative personnel include the: a. administrator; b. director of nursing, if applicable; and c. medical director, if applicable. 2. The HCBS provider’s notice to the department shall include the individual’s: a. name; b. address; c. hire date; and d. qualifications. D. If the HCBS provider changes its name without a change in ownership, the HCBS provider shall report such change to the department in writing five days prior to the change. The change in the HCBS provider name requires a change in the HCBS provider license. Payment of the applicable fee is required to re-issue the license. 1. An HCBS provider that is under license revocation may not undergo a CHOW. 2. If the CHOW results in a change of geographic address, an on-site survey may be required prior to issuance of the new license. E. Any request for a duplicate license shall be accompanied by the applicable fee. F. If the HCBS provider changes the physical address of its geographic location without a change in ownership, the HCBS provider shall report such change to LDH in writing at least five days prior to the change. Because the license of an HCBS provider is valid only for the geographic location of that provider, and is not transferrable or assignable, the provider shall submit a new licensing application. 1. An on-site survey may be required prior to the issuance of the new license. 2. The change in the HCBS provider’s physical address results in a new license renewal anniversary date and an additional full licensing fee shall be paid.