NDAC 75-03-21-02
Application
Cite as N.D. Admin. Code ยง 75-03-21-02
1.
An application for a license to operate a facility must be made to the department.
2.
An application must be made in the form and manner prescribed by the department.
3.
An application for a license must be filed immediately upon change of provider or location.
4.
An application is not complete until all required information and verifications are submitted to
the department, including:
a.
Fire inspections by the state fire marshal or local fire inspector, if required under
subsection 7 of section 75-03-21-06;
b.
A self-declaration of medical history and, when requested by the department, a report of
a physician's examination;
c.
A report of psychological examinations, when requested by the department;
d.
Proof of age and relationship, when requested by the department;
e.
Sanitation and safety inspection reports, when requested by the department;
f.
Completed application form;
g.
Drug and alcohol evaluation report, when requested by the department;
h.
Licensing study report assessing the applicant's compliance with this chapter and North
Dakota Century Code chapter 50-11;
i.
Documentation of completion of a course related to fire prevention and safety;
j.
Fire safety self-declaration form;
k.
Evidence that all caregivers are properly qualified to provide care as provided in section
75-03-21-08;
l.
A successfully completed criminal background check as specified in North Dakota
Century Code sections 50-11-02.4, 50-11-06.8, and 50-11-06.9;
m.
Examples of service logs to be used to account for service time and tasks performed for
each resident;
n.
An evacuation disaster plan; and
o.
A sample menu plan compliant with dietary guidelines outlined in subsection 4 of section
75-03-21-11.
5.
The department has sixty days from receipt of all application requirements to issue or deny a
license. The department has an additional forty-five days to grant or deny a license required
by this chapter if the department notifies the applicant that additional time is necessary.
6.
An applicant may not hold itself out as a facility before the applicant has been issued a license
by the department.