N.J. Admin. Code § 8:43J-2.8

Current through Register Vol. 56, No. 17, September 3, 2024

Section 8:43J-2.8 - Licensure renewal

(a) The Department shall issue to the facility a renewal application form pursuant to (c) below and a licensure fee request form requiring submission of the information in (c) and the renewal fee 30 days prior to the expiration of the facility license unless the Department has suspended or revoked the license.

(b) The Department shall not issue a renewed license until the Department receives a completed renewal application and the appropriate licensure renewal fee.

(c) A facility desiring to renew its license shall submit the following, on a licensure renewal application form that the Department provides pursuant to (a) above:

1. The name under which the facility has been operating;

2. The street address of the facility;

3. The number of slots;

4. The name and address of the applicant seeking renewal;

5. The type of business organization;

6. Identification of the ownership of the physical plant.

i. If the physical plant is to be leased, a signed copy of the lease;

7. Identification of any management company that will be operating the facility, including the entity's name and address and the name, title and telephone number of a contact person;

8. Identification of 100 percent of the proposed owners, including the names and addresses of all principals (that is, individuals and/or entities with a 10 percent or more interest);

9. Whether any person mentioned in the renewal application has ever had any interest in any application for a health care facility, in New Jersey or any other state, which was denied or revoked.

i. If yes, indicate whom and the details;

10. Whether any of the principals have an ownership, management or operational interest in a licensed health care facility in New Jersey or any other state.

i. If yes, indicate whom and provide a list of the licensed health care facilities;

11. Whether any person mentioned in the renewal application is related to any person who now operates or has operated a health care facility in New Jersey or any other state.

i. If yes, indicate whom, the relationship, and provide a list of the licensed health care facilities;

12. Whether any principals, owners, operators or managers of the facility have ever been found guilty of a criminal or administrative charge of fraud, abuse and/or neglect of a resident, a participant and/or a patient.

i. If yes, indicate whom and provide details;

13. Whether any principals, owners, operators or managers of the facility have ever been indicted for or convicted of a felony crime.

i. If yes, indicate whom and provide details;

14. The name and address of an agent in the State of New Jersey for service of process; and

15. A certification, signed by the applicant that states:

i. All the information submitted is true and correct, to the best of the applicant's knowledge and belief, and that willful misrepresentation of these facts may make the applicant subject to civil penalties;

ii. The application has been duly authorized by the governing body of the applicant; and

iii. The facility has been operated in accordance with applicable licensing requirements.

(d) The license shall not be renewed if local rules, regulations, and/or requirements are not met.

N.J. Admin. Code § 8:43J-2.8