Section 330.1223. Application for license.

Application for a hospital license shall be filed on forms prescribed by the department and shall contain all of the following:

(a)   The names of the individual stockholders and percentage of stock owned by each, and the names of the individuals  composing  the governing body.

(b)    An indication of whether the hospital is a member of any state or national association.

(c)  An indication of whether the hospital is accredited by the joint commission on accreditation of hospitals. If it  has  applied  for accreditation and was disapproved, it shall attach to  the application  a

copy of the joint commission on accreditation of hospitals notification of disapproval, including the list of recommendations. If it is already accredited, it shall attach to the application a copy  of   the  joint commission on accreditation of hospitals  notification of accreditation, including the list of recommendations.

(d)   A description of procedures and practices followed to insure the physical health of employees.

(e)   ) A narrative description of the program plan of the hospital.

(f)   Current staffing patterns and list of employees involved in the professional care and treatment of patients, with their respective license or certification numbers with the date of expiration.

(g)   Evidence of conformity with  standards  and   requirements  of  the department of public health.

(h)   A floor plan of the space devoted to patient care and activities. This plan shall illustrate the exact inside dimensions of each patient care room, the number of beds in each room, and the dimensions and use of other activity areas. Seclusion or quiet rooms and their dimensions  shall be specifically identified.

(i)   For a mental hospital or psychiatric hospital, a written agreement with a general hospital or group of physicians concerning provision of necessary medical care, including emergency care not provided in the hospital.

History: 1979 AC.