10-144-118 Me. Code R. § 3.C

Current through 2024-51, December 18, 2024
Section 144-118-3.C - Initial Licensing

The following must be submitted by the applicant with the initial application:

3.C.1. Floor Plans

Plans of the ICF/MR, drawn to scale, showing the use of each room and the source of utilities and methods of waste disposal.

3.C.2. Statement by Division of Environmental Health

A written statement, signed by an authorized representative of the Division of Environmental Health of the Department, indicating compliance of the facility with all applicable State statutes and regulations relating to plumbing, water supply, and sewage disposal.

3.C.3. Statement by the Office of Adults with Physical and Cognitive Disabilities Services

A written statement, signed by the appropriate local Regional Management Team of the Office of Adults with Cognitive and Physical Disabilities Services of the Department, indicating the ICF/MR's stated philosophy, operating policies and procedures, staffing pattern, physical plant design and day programming, and upholding the rights of persons with mental retardation, as set forth in Title 34-B M.R.S.A., subsection5601et seq.

3.C.4. Policies

A copy of the policies governing the services of the facility must be submitted to the Department. The Department shall notify the facility in writing of any policies which are not approved due to noncompliance with any statutes or regulations.

3.C.5. Transfer Agreement

Each applicant shall have an agreement with a licensed hospital concerning the transfer of clients.

3.C.6. Copy of the Lease (if applicable)

When a building is leased, a copy of the lease must be filed with the application for a license. The lease shall clearly indicate responsibility for the maintenance and upkeep of the property. The Department shall be notified within seventy-two (72) hours if there is any change in the lease agreement that may, in any way, affect the responsibility for maintenance and upkeep of the property.

3.C.7. Compliance with Local Laws

A letter from the appropriate municipal official having jurisdiction over the premises where the facility is to be located, indicating compliance with all local laws relative to the type of facility for which the license is requested must be on file in the facility.

3.C.8. Staffing
a. A staffing pattern must be submitted to the Department for approval. Copies of job descriptions may be requested by the Department.
b. Prior to the opening of a new ICF/MR, all staff shall be appropriately trained and oriented. 3. C. 9. Admission Plan
a. All direct care staff shall have completed orientation as required in Chapter 6.E.3, prior to admission of clients.
b. A planned program for admissions shall be submitted to the Department and approved by the Department prior to any clients being admitted to the facility. For any changes, a written request must be submitted to the Department.
c. A survey will be conducted by the Department on the day of proposed opening. All State requirements must be met or an acceptable plan of correction must be presented before a license can be issued or clients admitted.

10-144 C.M.R. ch. 118, § 3.C