Michigan Administrative Code
Department - Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Psychiatric Hospital/Unit
Licensing of Facilities
Section R. 330.1223 - Application for license

(a) The names of the individual stockholders and percentage of stock owned by each, and the names of the individuals composing the governing body.

(b) An indication of whether the hospital is a member of any state or national association.

(c) An indication of whether the hospital is accredited by the joint commission on accreditation of hospitals. If it has applied for accreditation and was disapproved, it shall attach to the application a copy of the joint commission on accreditation of hospitals notification of disapproval, including the list of recommendations. If it is already accredited, it shall attach to the application a copy of the joint commission on accreditation of hospitals notification of accreditation, including the list of recommendations.

(d) A description of procedures and practices followed to insure the physical health of employees.

(e) A narrative description of the program plan of the hospital.

(f) Current staffing patterns and list of employees involved in the professional care and treatment of patients, with their respective license or certification numbers with the date of expiration.

(g) Evidence of conformity with standards and requirements of the department of public health.

(h) A floor plan of the space devoted to patient care and activities. This plan shall illustrate the exact inside dimensions of each patient care room, the number of beds in each room, and the dimensions and use of other activity areas. Seclusion or quiet rooms and their dimensions shall be specifically identified.

(i) For a mental hospital or psychiatric hospital, a written agreement with a general hospital or group of physicians concerning provision of necessary medical care, including emergency care not provided in the hospital.