Section 270.1600  Adverse Licensure Action

a)         Before denying a license application, refusing to renew a license, suspending a license, revoking a license, or assessing an administrative fine, the Department shall notify the applicant or the licensee in writing.  The notice shall specify the charges or reasons for the Department's contemplated action, and shall provide an opportunity to file a request for a hearing within 10 days after receiving the notice. (Section 50 of the Act)

1)         A failure to request a hearing within 10 days shall constitute a waiver of the applicant's or licensee's right to a hearing.  (Section 50 of the Act)

2)         The hearing shall be conducted by the Director or an individual designated in writing by the Director as an Administrative Law Judge, and shall be conducted in conformance with the Department's Rules of Practice and Procedure in Administrative Hearings and Section 65 of the Act.  (Section 55 of the Act)

b)         A license may be denied, suspended, or revoked, or the renewal of a license may be denied or administrative fine assessed, for any of the following reasons:

1)         Violation of any provision of the Act or this Part;

2)         Conviction of the owner or operator of the subacute care hospital model of a felony or of any other crime under the laws of any state or of the United States arising out of, or in connection with, the operation of a health care facility.  The record of conviction or a certified copy of it shall be conclusive evidence of conviction;

3)         An encumbrance on a health care license issued in Illinois or any other state to the owner or operator of the subacute care hospital model;

4)         Revocation of any facility license issued by the Department during the previous five years or surrender or expiration of the license during the pendency of action by the Department to revoke or suspend the license during the previous five years if:

A)        the prior license was issued to the individual applicant, or a controlling owner or controlling combination of owners of the applicant, or

B)        any affiliate of the individual applicant, or controlling owner of the applicant or affiliate of the applicant was a controlling owner of the prior license.  (Section 45 of the Act)

c)         An action to assess an administrative fine may be initiated in conjunction with or in lieu of other adverse licensure action.

d)         The amount of an administrative fine shall be determined based on consideration of the following:

1)         The nature and severity of the violation(s);

2)         The facility's diligence in correcting the violation(s);

3)         Whether the facility had been previously cited for similar violation(s);

4)         The number of violations;

5)         The duration of uncorrected violation(s); and

6)         The impact or potential impact of the violation(s) on patient health and safety.

e)         The administrative fine shall be calculated in relation to the number of days the violation existed, or continues to exist if it has not been corrected.  The total amount of the fine assessed shall fall within the following parameters:

1)         For a violation that occurred as a single event or incident – between $100 and $5,000 per violation;

2)         For a violation that was or is continuing beyond a single event or incident – between $100 and $500 per day per violation.