D.C. Mun. Regs. tit. 29, r. 29-6211
The applicable licensing agency may modify any existing license at any point during the licensing year upon request by a facility or the applicable licensing agency, provided that the modification is not deleterious to the residents' health, safety, or welfare.
A facility seeking a modification shall apply in writing to the applicable licensing agency stating the reasons for the request, attaching all relevant information, and providing any additional information that the applicable licensing agency may require. The facility shall state the different conditions under which the facility intends to operate.
The applicable licensing agency shall review and either grant or deny an application for modification of an annual license. The applicable licensing agency shall notify the facility in writing of the decision to grant or deny an application for a modified license, including a statement of the grounds for the decision and notification of the facility's right to a fair hearing in accordance with 29 DCMR Chapter 59.
Upon modification of a license, the licensing agency shall mail the facility a modified license that sets forth the conditions under which the facility may operate.
D.C. Mun. Regs. tit. 29, r. 29-6211