§ 87639 — Administrative Review - Health Conditions

(a)  For purposes of this article, any request for administrative review of a notice of deficiency, notice of penalty, or health condition relocation order shall be submitted by the licensee or his/her designated representative in writing to the Department and, in addition to the requirements of Section 87763, Appeal Process, shall include the following:

(1)  The reason(s) the licensee disagrees with the notice or order.

(2)  Information about the resident as specified in Section 87611(a).

(3)  A current appraisal or reappraisal of the resident as specified in Sections 87457(c)(1) and 87463, Reappraisals.

(4)  A written statement from the resident's placement agency, if any, addressing the notice or order.

NOTE:  Authority cited:  Section 1569.30, Health and Safety Code.  Reference:  Sections 1569.2(a), (e), and (j), 1569.312 and 1569.54, Health and Safety Code.