Current through Register Vol. 43, No. 52, December 26, 2024
Each applicant for an initial license to operate a hospital
shall file an application on forms provided by the licensing agency at least 90
days prior to admission of patients. A license previously issued shall be
renewed after the licensee has filed an annual report and the licensing agency
has approved the same. The licensing agency shall approve the renewal after it
has documented that the applicant is in substantial compliance with these
regulations. Each application for license renewal shall be filed with the
licensing agency at least 90 days before the expiration date of the current
license, and the annual report shall be filed no later than 60 days after the
beginning of each calendar year. The annual report may include information
relating to:
(1) Administration and
ownership;
(4) special care services;
(6) surgical facilities, services and
procedures;
(7) outpatient and
emergency room services; and
(8)
staff personnel.
(b) New construction,
alterations or renovations that provide space for patient services or patient
rooms shall not be used until authorization has been received from the
licensing agency. The licensing agency may give such authorization orally or by
telephone and shall provide the facility with written confirmation within 30
days.
(c) The license shall
authorize a facility to operate only the number and classifications of beds
that appear on the previous license application unless additional beds or
reclassification of beds have been approved in accordance with K.A.R.
28-34-32a.
(d) If the facility is
found to be in violation of any of these regulations, the licensing agency
shall notify the applicant in writing of each violation and require that a plan
of correction be submitted before a license is issued or renewed. The plan
shall state specifically what corrective action will be taken and the date on
which it will be accomplished.
(e)
If during the term of its current license a facility is surveyed by the joint
commission on accreditation of health care organizations (JCAHO) or the
American osteopathic association (AOA), the facility shall submit the survey
report to the licensing agency toward satisfying the survey requirements for
licensure. After reviewing the survey report, the licensing agency may notify
the facility that a licensing survey will be conducted.
(f) The licensing agency will document the
extent of the facility's compliance with these regulations in at least one of
the following ways:
(1) The statement of a
responsible, authorized administrator or staff member;
(2) documentary evidence of compliance
provided by the facility;
(3)
answers by the facility to detailed questions provided by the licensing agency
concerning the implementation of any provisions of these regulations or
examples of such implementation which will enable a judgment about compliance
to be made;
(4) on-site
observations by surveyors; or
(5)
interviews with patients, employees or other persons or sources capable or
providing reliable information.
