10-148 C.M.R. ch. 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.
Notes
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