135C.9 - INSPECTION BEFORE ISSUANCE -- NOTICE OF DEFICIENCIES.

        135C.9  INSPECTION BEFORE ISSUANCE -- NOTICE OF
      DEFICIENCIES.
         1.  The department shall not issue a health care facility license
      to any applicant until:
         a.  The department has ascertained that the staff and
      equipment of the facility is adequate to provide the care and
      services required of a health care facility of the category for which
      the license is sought. Prior to the review and approval of plans and
      specifications for any new facility and the initial licensing under a
      new licensee, a resume of the programs and services to be furnished
      and of the means available to the applicant for providing the same
      and for meeting requirements for staffing, equipment, and operation
      of the health care facility, with particular reference to the
      professional requirements for services to be rendered, shall be
      submitted in writing to the department for review and approval. The
      resume shall be reviewed by the department within ten working days
      and returned to the applicant.  The resume shall, upon the
      department's request, be revised as appropriate by the facility from
      time to time after issuance of a license.
         b.  The facility has been inspected by the state fire marshal
      or a deputy appointed by the fire marshal for that purpose, who may
      be a member of a municipal fire department, and the department has
      received either a certificate of compliance or a provisional
      certificate of compliance by the facility with the fire hazard and
      fire safety rules and standards of the department as promulgated by
      the fire marshal and, where applicable, the fire safety standards
      required for participation in programs authorized by either Title
      XVIII or Title XIX of the United States Social Security Act (42
      U.S.C. § 1395 to 1395ll and 1396 to 1396g).  The certificate or
      provisional certificate shall be signed by the fire marshal or the
      fire marshal's deputy who made the inspection.  If the state fire
      marshal or a deputy finds a deficiency upon inspection, the notice to
      the facility shall be provided in a timely manner and shall
      specifically describe the nature of the deficiency, identifying the
      Code section or subsection or the rule or standard violated.  The
      notice shall also specify the time allowed for correction of the
      deficiency, at the end of which time the fire marshal or a deputy
      shall perform a follow-up inspection.
         2.  The rules and standards promulgated by the fire marshal
      pursuant to subsection 1, paragraph "b" of this section shall be
      substantially in keeping with the latest generally recognized safety
      criteria for the facilities covered, of which the applicable criteria
      recommended and published from time to time by the national fire
      protection association shall be prima facie evidence.  The rules and
      standards promulgated by the fire marshal shall be promulgated in
      consultation with the department and shall, to the greatest extent
      possible, be consistent with rules adopted by the department under
      this chapter.
         3.  The state fire marshal or the fire marshal's deputy may issue
      successive provisional certificates of compliance for periods of one
      year each to a facility which is in substantial compliance with the
      applicable fire hazard and fire safety rules and standards, upon
      satisfactory evidence of an intent, in good faith, by the owner or
      operator of the facility to correct the deficiencies noted upon
      inspection within a reasonable period of time as determined by the
      state fire marshal or the fire marshal's deputy. Renewal of a
      provisional certificate shall be based on a showing of substantial
      progress in eliminating deficiencies noted upon the last previous
      inspection of the facility without the appearance of additional
      deficiencies other than those arising from changes in the fire hazard
      and fire safety rules, regulations and standards which have occurred
      since the last previous inspection, except that substantial progress
      toward achievement of a good faith intent by the owner or operator to
      replace the entire facility within a reasonable period of time, as
      determined by the state fire marshal or the fire marshal's deputy,
      may be accepted as a showing of substantial progress in eliminating
      deficiencies, for the purposes of this section.
         4.  If a facility subject to licensure under this chapter, a
      facility exempt from licensure under this chapter pursuant to section
      135C.6, or a family home under section 335.25 or 414.22, has been
      issued a certificate of compliance or a provisional certificate of
      compliance under subsection 1 or 3, or has otherwise been approved as
      complying with a rule or standard by the state or a deputy fire
      marshal or a local building department as defined in section 103A.3,
      the state or deputy fire marshal or local building department which
      issued the certificate, provisional certificate, or approval shall
      not apply additional requirements for compliance with the rule or
      standard unless the rule or standard is revised in accordance with
      chapter 17A or with local regulatory procedure following issuance of
      the certificate, provisional certificate, or approval.  
         Section History: Early Form
         [C50, 54, § 135C.6; C58, 62, 66, 71, 73, 75, 77, 79, 81, § 135C.9]
      
         Section History: Recent Form
         97 Acts, ch 169, §19; 2001 Acts, ch 30, §1, 2
         Referred to in § 135C.6, 135C.16