Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2442 - Fees

Current through Register Vol. 48, No. 28, July 12, 2024
a) Before
				commencing construction of new facilities or specified types of alteration or
				additions to an existing hospital involving major constructionwith an estimated
				cost greater than $100,000, architectural plans and specifications therefor
				shall be submitted to the Departmentfor review and approval. A hospital may
				submit architectural drawings and specifications for other construction
				projects for Department review according to subsection (b) that shall not be
				subject to fees under subsection (d). Review of drawings and specifications
				shall be conducted by an employee of the Department meeting the qualifications
				established by the Department of Central Management Services class
				specifications for such an individual's position or by a person contracting
				with the Department who meets those class specifications. Final approval of the
				plans and specifications for compliance with design and construction standards
				shall be obtained from the Department before the alteration, addition, or new
				construction is begun. (Section 8(a) of the Act) For the purposes of this
				Section, "major construction" means changes that affect the structural
				integrity of the building, that change functional operations, that affect fire
				and life safety, and that add beds or facilities over those for which the
				hospital is licensed.
b) The
				Department shall inform an applicant in writing within 10 working days after
				receiving drawings and specifications and the required fee, if any, from the
				applicant whether the applicant's submission is complete or incomplete. Failure
				to provide the applicant with this notice within 10 working days shall result
				in the submission being deemed complete for purposes of initiating the 60 day
				review period under this Section. If the submission is incomplete, the
				Department shall inform the applicant of the deficiencies with the submission
				in writing. If the submission is complete and the required fee, if any, has
				been paid, the Department shall approve or disapprove drawings and
				specifications submitted to the Department no later than 60 days following
				receipt by the Department. The drawings and specifications shall be of
				sufficient detail to enable the Department to render a determination of
				compliance with design and construction standards under the Act. If the
				Department finds that the drawings are not of sufficient detail for it to
				render a determination of compliance, the plans shall be determined to be
				incomplete and shall not be considered for purposes of initiating the 60day
				review period. If a submission of drawings and specifications is incomplete,
				the applicant may submit additional information. The 60day review period shall
				not commence until the Department determines that a submission of drawings and
				specifications is complete or the submission is deemed complete. If the
				Department has not approved or disapproved the drawings and specifications
				within 60days, the construction, major alteration, or addition shall be deemed
				approved. If the drawings and specifications are disapproved, the Department
				shall state in writing, with specificity, the reasons for the disapproval. The
				entity submitting the drawings and specifications may submit additional
				information in response to the written comments from the Department or request
				a reconsideration of the disapproval. A final decision of approval or
				disapproval shall be made within 45days after the receipt of the additional
				information or reconsideration request. If denied, the Department shall state
				the specific reasons for the denial. The applicant may elect to seek informal
				dispute resolution through the Department's Advisory Committee (see Section
				250.2443 ). If
				the issue is not resolved, the applicant may elect to seek dispute resolution
				pursuant to Section 25 of the Illinois Building Commission Act [20 ILCS 3918/28
				], in which the Department must participate. (Section 8(b) of the
				Act)
c) The Department shall
				provide written approval for occupancy pursuant to Section 8(g) of the Act and
				shall not issue a violation to a facility as a result of a licensure or
				complaint survey based upon the facility's physical structure if:
1) The Department reviewed and approved or
				deemed approved the drawings and specifications for compliance with design and
				construction standards;
2) The
				construction, major alteration, or addition was built as submitted;
3) The Act or this Part has not been amended
				since the original approval;and
4)
				The conditions at the facility indicate that there is a reasonable degree of
				safety provided for the patients. (Section 8(c) of the Act)