104 CMR 28.20
Process for Obtaining or Renewing a License
(1) Application Process for License or Renewal.
(a) Any applicant seeking to obtain a license for a residential site or a Community Crisis
Stabilization Service (CCS) site as specified in 104 CMR 28.00: Subpart D shall file an
application in writing with the Department in a manner and on a form prescribed by the
Department. The applicant must be the agency or person with principal legal responsibility
for the administration and operation of a residential site.
(b) If any agency or individual operates more than one residential or CCS service site, such
agency or individual must apply for a separate license for each such site.
(c)
Any agency or person seeking to renew a license shall file an application for such
renewal in writing with the Department, in a manner and on a form prescribed by the
Department, not less than 90 days prior to the date of expiration of its current license. It shall
be the responsibility of the Department to act upon an application for renewal within the 90-
day period. Failure to do so shall not invalidate a previously existing license.
(d) A licensing applicant shall maintain the following documentation which shall be made
available to the Department upon request:
1. For business corporations that are for profit, a copy of an Administration and Finance
Form 4-A, together with any special or periodic reports submitted in amendment or
supplementation to the annual report, as well as a copy of the Articles of Incorporation
and by- laws.
2. For nonprofit corporations, a copy of the last annual report filed with the Secretary
of the Commonwealth pursuant to M.G.L. c. 180, § 26A, together with any special or
periodic reports submitted in amendment or supplementation to the annual report, and
a certified copy of the last annual report filed with the Office of the Attorney General
pursuant to M.G.L. c. 12, § 8F; as well as, a copy of the Articles of Incorporation and
by-laws.
A list of the names of all persons with any financial interest in the provider
including, but not limited to, persons with ownership interests in the building or
buildings used by the provider, paid or unpaid directors, shareholders, partners, loan
creditor mortgagees, salaried employees and consultants. The financial interest statement
shall be updated as necessary to accommodate changes.
(2) Departmental Action on Application for License or Renewal. Upon receipt and review by
the Department of all required documentation, and after any inspection made pursuant to
104 CMR 28.21, the Department shall take one of the following actions:
(a) Issue a license if no deficiencies are outstanding.
(b)
Issue a license subject to implementation by the applicant of a plan of correction
approved by the Department. Failure to implement a corrective action plan in accordance
with its terms may result in suspension, revocation of the license as provided in 104 CMR
28.21.
(c) Issue a provisional license for residential sites not currently in operation or for which the
Department cannot fully determine compliance with the requirements of 104 CMR 28.00
without an evaluation of the site in operation. No later than 90 days after a service begins
operation of a residential or CCS site under a provisional license, the Department shall
conduct an inspection to determine whether to issue a license in accordance with 104 CMR
28.20.
(d) Suspend, revoke or deny a license until such time as deficiencies are corrected.
(3) Duration of License. Licenses issued under 104 CMR 28.16 shall be valid for a term of two
years and may be renewed for like terms, subject to revocation or suspension pursuant to
104 CMR 28.21.
104 CMR - 382.4
(4) Change of Name, Ownership, Location or Services.
(a)
Except as approved by the Department, licenses shall not be transferable from one
licensee to another individual or agency, or from one location to another.
(b) The provider shall provide prior notification in writing to the Department of any change
in name or ownership of the provider agency or program or of a licensed site.
(c) The provider shall notify the Department in writing of any change in service affiliated
with a licensed site within ten days of such change.
(d)
The provider shall notify the Department in writing if at any time it ceases to use the
licensed site or of any changes in the physical plant of the site, or of any other changes in the
service or program of which the licensed site is a part which is contrary to any requirement
of licensure within ten days of such change or cease of use.
(e) The failure of a provider to notify the Department of any change required by 104 CMR
28.20(4) shall be grounds for suspension or revocation of the license.