Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-2 - Licensing procedure

Current through Register Vol. 43, No. 28, July 11,
			 2024
Each applicant for an initial license to operate a hospital
				shall file an application on forms provided by the licensing agency at least 90
				days prior to admission of patients. A license previously issued shall be
				renewed after the licensee has filed an annual report and the licensing agency
				has approved the same. The licensing agency shall approve the renewal after it
				has documented that the applicant is in substantial compliance with these
				regulations. Each application for license renewal shall be filed with the
				licensing agency at least 90 days before the expiration date of the current
				license, and the annual report shall be filed no later than 60 days after the
				beginning of each calendar year. The annual report may include information
				relating to:
(1) Administration and
			 ownership;
(2) classification;
(3) allocation of beds;
(4) special care services;
(5) patient statistics;
(6) surgical facilities, services and
			 procedures;
(7) outpatient and
			 emergency room services; and
(8)
			 staff personnel.
(b) New construction,
			 alterations or renovations that provide space for patient services or patient
			 rooms shall not be used until authorization has been received from the
			 licensing agency. The licensing agency may give such authorization orally or by
			 telephone and shall provide the facility with written confirmation within 30
			 days.
(c) The license shall
			 authorize a facility to operate only the number and classifications of beds
			 that appear on the previous license application unless additional beds or
			 reclassification of beds have been approved in accordance with K.A.R.
			 28-34-32a.
(d) If the facility is
			 found to be in violation of any of these regulations, the licensing agency
			 shall notify the applicant in writing of each violation and require that a plan
			 of correction be submitted before a license is issued or renewed. The plan
			 shall state specifically what corrective action will be taken and the date on
			 which it will be accomplished.
(e)
			 If during the term of its current license a facility is surveyed by the joint
			 commission on accreditation of health care organizations (JCAHO) or the
			 American osteopathic association (AOA), the facility shall submit the survey
			 report to the licensing agency toward satisfying the survey requirements for
			 licensure. After reviewing the survey report, the licensing agency may notify
			 the facility that a licensing survey will be conducted.
(f) The licensing agency will document the
			 extent of the facility's compliance with these regulations in at least one of
			 the following ways:
(1) The statement of a
			 responsible, authorized administrator or staff member;
(2) documentary evidence of compliance
			 provided by the facility;
(3)
			 answers by the facility to detailed questions provided by the licensing agency
			 concerning the implementation of any provisions of these regulations or
			 examples of such implementation which will enable a judgment about compliance
			 to be made;
(4) on-site
			 observations by surveyors; or
(5)
			 interviews with patients, employees or other persons or sources capable or
			 providing reliable information.