D.C. Mun. Regs. tit. 22, r. 22-B2603
Upon receipt of satisfactory proof from the applicant, the Director shall certify that the following services shall be provided at the maternity center by or under the supervision of a certified nurse-midwife, provided a physician, as described in § 2614, is available on call at all times:
The Director, Department of Consumer and Regulatory Affairs ("DCRA"), or a designee, and the Chief, District of Columbia Fire Department ("Fire Department"), or a designee, shall inspect any physical facility to be used as a maternity center to determine whether the facility is appropriate for the proposed use, and if appropriate, issue to the applicant and the Director certification of the appropriate use. The Director shall not issue a license to operate a maternity center until the Director receives the certification of appropriateness from the Fire Department and DCRA.
The Director may waive the on-site inspection if the Director determines that the maternity center to be located in the District is headquartered and licensed outside the District, and in the opinion of the Director, licensure by another jurisdiction constitutes sufficient evidence that the maternity center is in substantial compliance with District of Columbia law.
D.C. Mun. Regs. tit. 22, r. 22-B2603