10- 148 C.M.R. ch. 37, § 4

Current through 2024-51, December 18, 2024

Section 148-37-4 - LICENSE APPLICATION REQUIREMENTS

A.DEPARTMENT REVIEW OF APPLICATION

1.Records and application review. Prior to securing an initial license, a completed application must be submitted to the Department.

a.Application must be complete. A complete initial or renewal application means that all required information will be completed on the Department-approved form, and that form has been received by the Department with all required documentation. Incomplete applications on which no action has been taken by the applicant after 60 calendar days are void.

b.Documents required with initial application. The following documents must be submitted with the completed application:

i. Statement of purpose which specifies the Facility's philosophy, purpose, and program orientation and describes both short and long term goals. The statement must identify the types of services provided and the characteristics of the youth, including age range, to be served by the program;

ii. Statement of ownership including the names and addresses of principal owners, and the names and addresses of officers and directors;

iii. An organizational chart with an explanation of lines of accountability and authority;

iv. A list of governing body members, identifying the office held by the member, and member's addresses and other contact information;

v. Staff roster;

vi. Sample youth file;

vii. A list of all services the applicant intends to provide complete with program description;

viii. Certificate of occupancy;

ix. A description of the location and a sketch of the floor plan;

x. A written financial plan projected for the term of the license which demonstrates the ability of the applicant to provide the services for which they are seeking licensure;

xi. Emergency, disaster, hazard, and evacuation plan;

xii. A written close of business plan governing all organizational components;

xiii. A copy of all policies and procedures to demonstrate compliance with this rule. See Section (5)(E) for a complete list of policies required.

2.Renewal of license. A renewal application must be received by the Department at least 60 days prior to the license expiration date. Failure to submit a renewal application prior to the expiration will result in the expiration of the license. The renewal application must include:

a.Financial report. An updated budget and financial report which demonstrates the Facility's financial capability to carry out its program for the licensing period;

b. Documentation of changes. Any documentary information which has changed since the time of its previous application including, but not limited to, a change in policies, a change in the organizational chart, or a change in programming;

c. Current staff roster with date of hire;

d. List of all client intakes and discharges during the last licensing period (not applicable for Shelters for Homeless Children).

3.Renewal of expired license. A license may be renewed only if a completed application is received by the Department at least 60 days prior to the license expiration date. A license is non-renewable after the expiration date. A Facility for which the license has expired must obtain a new license in order to continue operations. Whereas an expired license is non-renewable, a Facility with an expired license must submit an application for a new license and is subject to all requirements governing new applications. The Department will not back date licenses for facilities that failed to submit renewal applications prior to expiration of the Facility's license.

4.Issuance of license. Upon receipt of an application for a license or renewal thereof, the Department will inform the applicant of the steps it will follow in the licensing process which may include interviews, site visits, review of records, and technical assistance related to meeting and maintaining licensing requirements.

5.Inspections

a.Right of entry. Any employee authorized by the Department will, at any reasonable time, have the right of entry and may inspect the Facility and any records required by this rule in order to determine compliance with law and with rules established by the Department in accordance with 22 M.R.S. §7804.

b.Fire and safety inspection. Upon receipt of an application for a license or renewal thereof, the Department will contact the State Fire Marshal's Office to request an inspection of the applicant's physical plant to ensure compliance with appropriate State and local regulations regarding safety. The Department will request copies of such inspection reports.

10- 148 C.M.R. ch. 37, § 4