N.D. Admin. Code 75-03-21-02

Current through Supplement No. 395, January, 2025

Section 75-03-21-02 - Application

1. An application for a license to operate a facility must be made to the department.

2. An application must be made in the form and manner prescribed by the department.

3. An application for a license must be filed immediately upon change of provider or location.

4. An application is not complete until all required information and verifications are submitted to the department, including:

a. Fire inspections by the state fire marshal or local fire inspector, if required under subsection 7 of section 75-03-21-06;

b. A self-declaration of medical history and, when requested by the department, a report of a physician's examination;

c. A report of psychological examinations, when requested by the department;

d. Proof of age and relationship, when requested by the department;

e. Sanitation and safety inspection reports, when requested by the department;

f. Completed application form;

g. Drug and alcohol evaluation report, when requested by the department;

h. Licensing study report assessing the applicant's compliance with this chapter and North Dakota Century Code chapter 50-11;

i. Documentation of completion of a course related to fire prevention and safety;

j. Fire safety self-declaration form;

k. Evidence that all caregivers are properly qualified to provide care as provided in section 75-03-21-08;

l. A successfully completed criminal background check as specified in North Dakota Century Code sections 50-11-02.4, 50-11-06.8, and 50-11-06.9;

m. Examples of service logs to be used to account for service time and tasks performed for each resident;

n. An evacuation disaster plan; and

o. A sample menu plan compliant with dietary guidelines outlined in subsection 4 of section 75-03-21-11

N.D. Admin Code 75-03-21-02

Effective May 1, 1992; amended effective May 1, 1995; September 1,2004; January 1, 2009; October 1, 2012.

Amended by Administrative Rules Supplement 2016-362, October 2016, effective 10/1/2016.

Amended by Administrative Rules Supplement 2020-377, July 2020, effective 7/1/2020.

General Authority: NDCC 50-06-16, 50-11

Law Implemented: NDCC 50-01-09(6), 50-11-03