Iowa Code
Chapter 135C - HEALTH CARE FACILITIES
Section 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 Tit. XVIII or Tit. XIX of the United States Social Security Act, codified at 42 U.S.C. §1395 – 1395ll and 1396 – 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.
[C50, 54, §135C.6; C58, 62, 66, 71, 73, 75, 77, 79, 81, §135C.9]
97 Acts, ch 169, §19; 2001 Acts, ch 30, §1, 2; 2010 Acts, ch 1061, §180; 2015 Acts, ch 29, §24
Referred to in §135C.6, 135C.16

Structure Iowa Code

Iowa Code

Title IV - PUBLIC HEALTH

Chapter 135C - HEALTH CARE FACILITIES

Section 135C.1 - Definitions.

Section 135C.2 - Purpose — rules — special classifications — protection and advocacy agency.

Section 135C.3 - Nature of care.

Section 135C.4 - Residential care facilities.

Section 135C.5 - Limitations on use.

Section 135C.6 - License required — exemptions.

Section 135C.7 - Application — fees.

Section 135C.8 - Scope of license.

Section 135C.9 - Inspection before issuance — notice of deficiencies.

Section 135C.10 - Denial, suspension, or revocation.

Section 135C.11 - Notice — hearings.

Section 135C.12 - Conditional operation.

Section 135C.13 - Judicial review.

Section 135C.14 - Rules.

Section 135C.15 - Time to comply.

Section 135C.16 - Inspections.

Section 135C.16A - Inspectors — conflicts of interest.

Section 135C.17 - Duties of other departments.

Section 135C.18 - Employees.

Section 135C.19 - Public disclosure of inspection findings — posting of citations.

Section 135C.20 - Information distributed.

Section 135C.20A - Report cards — facility inspections — complaint procedures — availability to public — electronic access.

Section 135C.20B - Governor’s award — quality care.

Section 135C.21 - Penalties.

Section 135C.22 - Applicable to governmental units.

Section 135C.23 - Express requirements for admission or residence.

Section 135C.24 - Personal property or affairs of patients or residents.

Section 135C.25 - Resident advocate committee appointments — duties — disclosure — liability.

Section 135C.26 - Director notified of casualties.

Section 135C.27 - Federal funds to implement program.

Section 135C.28 - Conflicting statutes.

Section 135C.29 - License list to county commissioner of elections.

Section 135C.30 - Operation of facility under receivership.

Section 135C.31 - Discharge of Medicaid patients.

Section 135C.31A - Assessment of residents — program eligibility — prescription drug coverage.

Section 135C.32 - Hospice services covered by Medicare.

Section 135C.33 - Employees and certified nurse aide trainees — child or dependent adult abuse information and criminal record check options — evaluations — application to other providers — penalty.

Section 135C.34 - Medication aide — certification.

Section 135C.35 - Training of inspectors.

Section 135C.36 - Violations classified — penalties.

Section 135C.37 - Complaints alleging violations — confidentiality.

Section 135C.38 - Inspections upon complaints.

Section 135C.39 - No advance notice of inspection — exception.

Section 135C.40 - Citations when violations found — penalties — exception.

Section 135C.40A - Issuance of final findings.

Section 135C.41 - Licensee’s response to citation.

Section 135C.42 - Informal conference on contested citation.

Section 135C.43 - Judicial review.

Section 135C.43A - Reduction of penalty amount.

Section 135C.44 - Treble fines for repeated violations.

Section 135C.44A - Double fines for intentional violations.

Section 135C.45 - Refund of penalty.

Section 135C.45A - Notification penalty.

Section 135C.46 - Retaliation by facility prohibited.

Section 135C.47 - Report listing licensees and citations.

Section 135C.48 - Information about complaint procedure.