Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 118 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF INTERMEDIATE CARE FACILITIES FOR PERSONS WITH MENTAL RETARDATION › Chapter 3 - LICENSURE › Section 144-118-3.C - Initial Licensing

Current through 2024-29, July 17, 2024
The following must be submitted by the applicant with the
					 initial application:
3.C.1. Floor
				  Plans
Plans of the ICF/MR, drawn to scale, showing the use of
					 each room and the source of utilities and methods of waste
					 disposal.
3.C.2. Statement
				  by Division of Environmental Health
A written statement, signed by an authorized representative
					 of the Division of Environmental Health of the Department, indicating
					 compliance of the facility with all applicable State statutes and regulations
					 relating to plumbing, water supply, and sewage disposal.
3.C.3. Statement by the Office of Adults with
				  Physical and Cognitive Disabilities Services
A written statement, signed by the appropriate local
					 Regional Management Team of the Office of Adults with Cognitive and Physical
					 Disabilities Services of the Department, indicating the ICF/MR's stated
					 philosophy, operating policies and procedures, staffing pattern, physical plant
					 design and day programming, and upholding the rights of persons with mental
					 retardation, as set forth in Title
					  34-B M.R.S.A.,
					 subsection5601
et seq
.
3.C.4. Policies
A copy of the policies governing the services of the
					 facility must be submitted to the Department. The Department shall notify the
					 facility in writing of any policies which are not approved due to noncompliance
					 with any statutes or regulations.
3.C.5. Transfer Agreement
Each applicant shall have an agreement with a licensed
					 hospital concerning the transfer of clients.
3.C.6. Copy of the Lease (if applicable)
When a building is leased, a copy of the lease must be
					 filed with the application for a license. The lease shall clearly indicate
					 responsibility for the maintenance and upkeep of the property. The Department
					 shall be notified within seventy-two (72) hours if there is any change in the
					 lease agreement that may, in any way, affect the responsibility for maintenance
					 and upkeep of the property.
3.C.7. Compliance with Local Laws
A letter from the appropriate municipal official having
					 jurisdiction over the premises where the facility is to be located, indicating
					 compliance with all local laws relative to the type of facility for which the
					 license is requested must be on file in the facility.
3.C.8. Staffing
a. A staffing pattern must be submitted to
				  the Department for approval. Copies of job descriptions may be requested by the
				  Department.
b. Prior to the
				  opening of a new ICF/MR, all staff shall be appropriately trained and oriented.
				  3. C. 9. Admission Plan
a. All
				  direct care staff shall have completed orientation as required in Chapter
				  6.E.3, prior to admission of clients.
b. A planned program for admissions shall be
				  submitted to the Department and approved by the Department prior to any clients
				  being admitted to the facility. For any changes, a written request must be
				  submitted to the Department.
c. A
				  survey will be conducted by the Department on the day of proposed opening. All
				  State requirements must be met or an acceptable plan of correction must be
				  presented before a license can be issued or clients
				  admitted.