California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 6 - Home Health Agencies › Article 2 - License › Section 74665 - Disclosure Clause

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The home health agency must disclose the following
					 information to the Department at the time of the home health agency's initial
					 request for licensure, at the time of each survey, and at the time of any
					 change in ownership or management:
(a)
				  The name and address of each person with an ownership or control interest of
				  five percent or greater in the home health agency.
(b) The name and address of each person who
				  is an officer, a director, an agent, or a managing employee of the home health
				  agency.
(c) The name and address of
				  the person, corporation, association, or other company that is responsible for
				  the management of the home health agency, and the name and address of the chief
				  executive officer and the chairman of the board of directors of the
				  corporation, association or other company responsible for the management of the
				  home health agency.
(d) If any
				  person described in (a), (b), or (c) has served as or currently serves as an
				  administrator, general partner, trustee or trust applicant, sole proprietor or
				  any applicant or licensee who is a sole proprietorship, executor, or corporate
				  officer or director of, or has held a beneficial ownership interest of 5
				  percent or more in any other home health agency, health facility, clinic,
				  hospice, Pediatric Day Health and Respite Care Facility, Adult Day Health Care
				  Center, or any facility licensed by the Department of Social Services, the
				  applicant shall disclose the relationship to the Department, including the name
				  and current or last address of the facility and the date such relationship
				  commenced and, if applicable, the date it was terminated.
1. Repealer
					 and new section filed 4-28-95 as an emergency; operative 4-28-95 (Register 95,
					 No. 17). A Certificate of Compliance must be transmitted to OAL by 8-28-95 or
					 emergency language will be repealed by operation of law on the following
					 day.
2. Repealer and new section refiled 8-14-95 as an emergency;
					 operative 8-14-95 (Register 95, No. 33). A Certificate of Compliance must be
					 transmitted to OAL by 12-12-95 or emergency language will be repealed by
					 operation of law on the following day.
3. Repealer and new section
					 refiled 12-12-95 as an emergency; operative 12-12-95 (Register 95, No. 50). A
					 Certificate of Compliance must be transmitted to OAL by 4-10-96 or emergency
					 language will be repealed by operation of law on the following
					 day.
4. Repealer and new section refiled 4-11-96 as an emergency;
					 operative 4-11-96 (Register 96, No. 15). A Certificate of Compliance must be
					 transmitted to OAL by 8-9-96 or emergency language will be repealed by
					 operation of law on the following day.
5. Certificate of Compliance
					 as to 4-28-95 order transmitted to OAL 8-7-96 and disapproved 9-19-96 (Register
					 96, No. 38).
6. Repealer and new section filed 9-19-96 as an
					 emergency; operative 9-19-96 (Register 96, No. 38). A Certificate of Compliance
					 must be transmitted to OAL by 1-17-97 or emergency language will be repealed by
					 operation of law on the following day.
7. Editorial correction of
					 HISTORY 6 (Register 97, No. 3).
8. Repealer and new section refiled
					 1-16-97 as an emergency; operative 1-16-97 (Register 97, No. 3). A Certificate
					 of Compliance must be transmitted to OAL by 5-16-97 or emergency language will
					 be repealed by operation of law on the following day.
9. Repealer
					 and new section refiled 5-15-97 as an emergency; operative 5-15-97 (Register
					 97, No. 20). A Certificate of Compliance must be transmitted to OAL by 9-12-97
					 or emergency language will be repealed by operation of law on the following
					 day.
10. Certificate of Compliance as to 5-15-97 order, including
					 amendment of section and NOTE, transmitted to OAL 8-26-97 and filed 10-8-97
					 (Register 97, No. 41).
Note: Authority cited: Sections
						1734
						and
						100275,
						Health and Safety Code. Reference: Section
						1734,
						Health and Safety Code.