Current through all regulations passed and filed through September 16, 2024
(A) Application for license as a pediatric
respite care program shall be made on forms prescribed and provided by the
director shall include such information as the director
requests, including the information prescribed by
paragraph (C) of this rule, and shall be accompanied by a non-refundable
license fee of six hundred dollars in the form of a check or money order
payable to the 'Treasurer, State of Ohio."
(B) Any person or public agency seeking to be
licensed to provide a pediatric respite care program shall submit an
application for licensure at least sixty days prior to the requested date for
the inspection
prescribed by paragraph (A) of rule
3701-19-34 of the Administrative
Code.
(C) An application for a
license to provide a pediatric respite care program shall include:
(1) The name, address, and business telephone
number of the pediatric respite care program;
(2) The names and addresses of the persons
having an ownership or control interest in the pediatric respite care program
and other information pertaining to ownership or control of the
program;
(3) The corporate name of
the pediatric respite care program, if any, and the names, titles, addresses,
and telephone numbers of its officers and statutory agent;
(4) A list of the services which are or will
be provided by the pediatric respite care program either directly or indirectly
through written contracts;
(5) If
services are to be provided through contract, the identities of any contractors
and the services they will provide;
(6) The number of pediatric respite care
patient rooms in the pediatric respite care program facility; and
(7) Documentation of compliance with the
building code standards
prescribed by paragraph (C) of rule
3701-19-48 of the Administrative
Code.
(D) The applicant
or an authorized representative shall sign an affidavit included in the
application certifying that, to the best of his or her knowledge, the
information in the application and any accompanying material is true and
accurate. If a representative signs the affidavit, he or she shall include
documentation that he or she is the applicant's authorized
representative.
(E)
Renewal of license:
(1)
Pediatric respite care programs applying to renew a
license are obligated to:
(a)
Submit an application for renewal at least ninety days
prior to the expiration of the license;
(b)
Include a renewal
fee paid in accordance with paragraph (A) of this rule in the same manner as
for an initial license;
(c)
Include documentation of continued compliance with the
Ohio fire code in accordance with paragraph (C) of rule
3701-19-48 of the Administrative
Code; and
(d)
Submit a certificate of occupancy in accordance with
paragraph (C) of rule
3701-19-48 of the Administrative
Code if it has changed in any way from the one submitted with prior
applications.
(2)
The director will renew the license if the program
continues to meet the requirements of Chapter 3712. of the Revised Code and
Chapters 3701-19 and 3701-13 of the Administrative Code.
(3)
If the program
does not meet the requirements, the director may deny renewal of the license,
in accordance with Chapter 119. of the Revised Code.
(F) When reviewing a license application, the
director may request, in writing, that an applicant furnish any additional
information that the director determines to be necessary to assess compliance
with Chapter 3712. of the Revised Code and this chapter. The applicant
is obligated
to furnish any requested information within fourteen days after the
mailing of the director's request.
(G) A pediatric respite care program
operating in another state seeking to provide services to patients in Ohio
is obligated
to establish an administrative office in Ohio and comply with the rules
of Chapter 3701-19 of the Administrative Code in order to obtain a license. All
pediatric respite patients' clinical records
are to be
maintained at the Ohio administrative office.
(H) Each licensed pediatric respite care
program
will notify the director, in writing, of any of the
following:
(1) Any change in any of the
information specified in the license application under paragraphs (C)(1) to
(C)(5) of this rule no later than fifteen days after the change;
(a)
Submission of a change of ownership application on
forms prescribed and provided by the director; and
(b) A non-refundable fee of two hundred
dollars in the form of a check or money order payable to the "Treasurer, State
of Ohio."
(2) Any other
change that would render the information submitted in the license application
inaccurate at least twenty-one days prior to the effective date of the change;
and
(3) Any intent to cease
operation at least sixty days prior to ceasing operation. This notification
is obligated
to include a plan for assuring continuity of care for the program's
patients and their families after the program ceases operation
and procedures for assuring continuity of care for all
pediatric respite care patients that includes the folowing:
(a) Provision of written notice of the
proposed closure of the program, at least sixty days prior to ceasing
operation, to each patient or patient's family;
(b) Development of a written discharge plan
to be placed in each patient's record to assist the person or public agency
that will be responsible for care of the patient and the patient's family after
the program ceases operation; and
(c) Obtaining from each patient or the
patient's authorized representative written approval of any transfer to another
licensed pediatric respite care program and written authorization to release
pertinent clinical record information to such a program or another person or
public agency that will assume responsibility for the patient's and family's
care.
(I)
Each licensed pediatric respite care program that seeks to increase or decrease
the number of pediatric respite care patient rooms as reported under paragraph
(C)(6) of this rule,
is obligated to apply for an amended license.
(1) Application for an amended license
will be
made on forms prescribed and provided by the director,
include such information as the
director requires, and be accompanied
by a non-refundable amended license fee in the form of a check or money order
payable to the "Treasurer, State of Ohio" in the following amounts:
(a) A decrease in the number of patient rooms
not involving a renovation, a fee of two hundred dollars;
(b) An increase in the number of patient
rooms not involving a renovation, a fee of two hundred dollars; or
(c) An increase in the number of patient
rooms involving a renovation, a fee of six hundred dollars.
(2) Any increase in the number of
pediatric respite care patient rooms
necessitates an inspection in
accordance with rule
3701-19-34 of the Administrative
Code.
