Current through Register Vol. 50, No. 9, September 20, 2024
A. The
Department shall have the authority to issue the following types of licenses:
1. Full Initial License. The department shall
issue a full license to the facility when the initial licensing survey finds
that the PDHC facility is compliant with all licensing laws and regulations,
and is compliant with all other required statutes, laws, ordinances, rules,
regulations, and fees. The license shall be valid until the expiration date
shown on the license, unless the license is modified, revoked, suspended, or
terminated.
2. Provisional Initial
License. The department may issue a provisional initial license to the facility
when the initial licensing survey finds that the PDHC facility is noncompliant
with any licensing laws or regulations or any other required statutes, laws,
ordinances, rules, regulations or fees, but the department determines that the
noncompliance does not present a threat to the health, safety or welfare of the
children or participants. The provisional license shall be valid for a period
not to exceed six months.
a. At the
discretion of the department, the provisional initial license may be extended
for an additional period not to exceed 90 days in order for the PDHC facility
to correct the noncompliance or deficiencies.
b. The facility must submit a plan of
correction to the department for approval and the provider shall be required to
correct all such noncompliance or deficiencies prior to the expiration of the
provisional initial license.
c. A
follow-up survey shall be conducted prior to the expiration of the provisional
initial license.
i. If all such noncompliance
or deficiencies are determined by the department to be corrected on a follow-up
survey, a full license will be issued.
ii. If all such noncompliance or deficiencies
are not corrected on the follow-up survey, the provisional initial license
shall expire and the provider shall be required to begin the initial licensing
process again by submitting a new initial license application packet and
fee.
3. Full
Renewal License. The department may issue a full renewal license to an existing
licensed PDHC facility which is in substantial compliance with all applicable
federal, state, departmental, and local statutes, laws, ordinances, rules,
regulations and fees. The license shall be valid until the expiration date
shown on the license, unless the license is modified, revoked, suspended, or
terminated.
4. Provisional Renewal
License. The department, in its sole discretion, may issue a provisional
license to an existing licensed PDHC facility for a period not to exceed six
months.
a. At the discretion of the
department, the provisional renewal license may be extended for an additional
period not to exceed 90 days in order for the PDHC facility to correct the
noncompliance or deficiencies.
b. A
provisional renewal license may be issued for the following reasons:
i. the existing PDHC facility has more than
five deficient practices or deficiencies cited during any one survey;
ii. the existing licensed PDHC facility has
more than three validated complaints in a one year period;
iii. the existing PDHC facility has been
issued a deficiency that involved placing a child or participant at risk for
serious harm or death;
iv. the
existing PDHC facility has failed to correct deficient practices within 60 days
of being cited for such deficient practices or at the time of a follow-up
survey; or
v. the existing
pediatric day health care provider is not in substantial compliance with all
applicable federal, state, departmental, and local statutes, laws, ordinances,
rules regulations and fees at the time of renewal of the license.
c. When the department issues a
provisional renewal license to an existing licensed pediatric day health care
provider, the department shall conduct an on-site follow-up survey at the
pediatric day health care facility prior to the expiration of the provisional
license.
i. If the on-site follow-up survey
determines that the PDHC facility has corrected the deficient practices and has
maintained compliance during the period of the provisional license, the
department may issue a full license for the remainder of the year until the
anniversary date of the PDHC facility license.
ii. If the on-site follow-up survey
determines that the PDHC facility has not corrected the deficient practices or
has not maintained compliance during the period of the provisional license, the
provisional renewal license shall expire and the facility shall be required to
begin the initial licensing process again by submitting a new initial license
application packet and fee, if no timely informal reconsideration or
administrative appeal is filed pursuant to this Chapter.
B. If an existing
licensed PDHC facility has been issued a notice of license revocation,
suspension, or termination, and the facility's license is due for annual
renewal, the department shall deny the license renewal application and shall
not issue a renewal license.
1. If a timely
administrative appeal has been filed by the provider regarding the license
revocation, suspension, or termination, the administrative appeal shall be
suspensive and the facility shall be allowed to continue to operate and provide
services until such time as the department's Bureau of Appeals issues a
decision on the license revocation, suspension, or termination.
2. If the secretary of the department
determines that the violations of the PDHC facility pose an imminent or
immediate threat to the health, welfare, or safety of a child, the imposition
of such action may be immediate and may be enforced during the pendency of the
administrative appeal. The PDHC facility shall be notified of this
determination in writing.
3. The
denial of the license renewal application shall not affect in any manner the
license revocation, suspension, or termination.
C. The renewal of a license does not in any
manner affect any sanction, civil monetary penalty, or other action imposed by
the department against the facility.
D. The license for a PDHC facility shall be
valid for one year from the date of issuance, unless revoked, suspended,
modified, or terminated prior to that time.
E. The initial pediatric day health care
license shall specify the capacity of the facility.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2193-40:2193.4.