Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 295 - ASSISTED LIVING AND SHARED HOUSING ESTABLISHMENT CODE › Subpart A - GENERAL PROVISIONS › Section 295.500 - Application for License

Current through Register Vol. 48, No. 28, July 12, 2024
a)
An
applicant
shall provide the following
				information,
on forms provided by
the Department, to be
				considered for licensure:
1)
The business name, street address, mailing address, and telephone
				number of the establishment;
2)
The name and mailing address of
				the owner or owners of the establishment and, if the owner or owners are not
				natural persons, identification of the type of business entity of the owners,
				and the names and addresses of the officers and members of the governing body,
				or comparable persons for partnerships, limited liability companies, or other
				types of business organizations;
3)
Financial information establishing
				that the project is financially feasible,
in one of the following
				forms:
A) A surety bond in an amount equal to
				at least three months operating expenses;
B) An independent certified public
				accountant's report expressing an opinion on the financial status of the
				establishment;
C) An audited
				financial report certifying the financial status of the applicant;
D) The entity's most recent bond rating (less
				than two years old) from Fitch's, Moody's, or Standard and Poor's rating agency
				that documents an "A" rating or better;
E) Evidence of operation for at least two
				years of a facility licensed under the Nursing Home Care Act, the MC/DD Act,
				ID/DD Community Care Act, or the Assisted Living and Shared Housing Act;
				or
F) If the applicant is not able
				to provide any of the information listed in subsections (a)(3)(A)-(E), the
				applicant may provide any other information acceptable to the Department that
				demonstrates financial status.
4)
The name and mailing address of
				the managing agent of the establishment, whether hired under a management
				agreement or lease agreement, if different from the owner or owners, and the
				name of the full-time
director of the
				establishment
;
5)
Verification that the establishment has entered or will enter into a
				service delivery contract as provided in Section
295.2030,
as required
				under
the
Act, with each resident or resident's
				representative;
6)
The name and address of at least one natural person who shall be
				responsible for dealing with the Department on all matters provided for
				in
the
Act
and this Part,
on whom personal
				service of all notices and orders shall be made, and who shall be authorized to
				accept service on behalf of the owner or owners and the managing agent.
				Notwithstanding a contrary provision of the Code of Civil Procedure, personal
				service on the person identified pursuant to this subsection
(a)(6)
shall be considered service on the owner or owners and the managing
				agent, and it shall not be a defense to any action that personal service was
				not made on each individual or entity;
7)
The signature of the authorized
				representative of the owner or owners;
8)
Proof of an ongoing quality
				improvement program in accordance with
Section
				295.2060;
9)
Information about the number and
				types of units and the maximum census;
10)
Information about the
mandatory and optional
services to be provided at the
				establishment;
11)
Proof of compliance with applicable State and local residential
				standards
, as evidenced by completion of the Department's Code
				Certification of Compliance form;
12)
A copy of the standard contract
				offered to residents;
13)
Documentation of adequate liability insurance;
(Section 30 of
				the Act)
14) A completed
				Alzheimer's Disease and Related Dementias Special Care Disclosure form;
				and
15) A schematic drawing of the
				establishment.