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BUREAU OF FACILITY LICENSURE AND CERTIFICATION


The Bureau of Facility Licensure and Certification licenses and verifies compliance with state and federal health and safety standards in healthcare facilities as mandated by law, including hospitals, nursing homes, and ambulatory surgical facilities. The Bureau conducts regular on-site surveys to assure health, safety, sanitation, fire, and quality of care requirements and to identify deficiencies that may affect state licensure or eligibility for federal reimbursements under the Medicaid and Medicare programs. It also manages a multi-year contract for the operation of the federally-mandated nurse aide registry and maintains a toll-free Complaint Hotline, where consumers can register complaints about healthcare facilities.
Division of Safety Inspection
The Division of Safety Inspection has the responsibility of surveying health care facilities to determine compliance with the Life Safety Code, NFPA 101, 2012 Edition for federal certification and state licensure.  The Division provides sophisticated building analysis in accordance with the federal and state mandated Life Safety Code.  This analysis constitutes a review of the structural design and fireproofing.  Within that framework, the electrical systems, plumbing, heating, ventilation, fire alarm, sprinkler system and smoke-detection systems must be evaluated. 
In addition to the survey process, the Division also has the responsibility of reviewing and approving construction drawings for all health care facilities in the Commonwealth.  The Division's plan review staff meet daily with architects and engineers in the Harrisburg central office to determine the acceptability of designs for health care facilities.  The Division's central office controls and coordinates the activities of five regional offices.  The Division surveys more than 1,350 facilities with over 3,000 individual buildings. 
Division of Nursing Care Facilities
The Division of Nursing Care Facilities is responsible for the licensing and oversight of Pennsylvania's approximately 700 nursing care facilities.  The Division conducts licensure and certification surveys, follow-up surveys and complaint investigations. The Division also operates and maintains the federally mandated nurse aide registry which contains information on more than 229,000 nurse aides in Pennsylvania, and maintains a toll-free complaint hotline where consumers can register complaints about healthcare facilities.  The Division of Nursing Care Facilities operates through its central office and nine field offices.
Division of Acute and Ambulatory Care
The Division of Acute and Ambulatory Care is responsible for the licensing and oversight of Pennsylvania's hospitals and ambulatory surgical facilities which total approximately 600 facilities in the Commonwealth.  The Division conducts licensure and certification surveys, follow-up surveys and complaint investigations. The Division of Acute and Ambulatory Care operates a central office that directs the operation of nine field offices.