D.C. Mun. Regs. tit. 22, r. 22-B4006
A CON holder shall not begin operation of an approved project until SHPDA has conducted a preoperational inspection and has determined that the project is in compliance with the CON requirements.
For a large project that may be completed in phases, the Director may approve the project in phases as the phases are completed and after a CON holder requests phased implementation of the project in writing.
Not later than thirty (30) days before the date that the CON holder proposes beginning operation, the CON holder shall inform the Director in writing of the proposed date for operation of the facility or service (or a part of the facility) approved under a CON.
After the notification required by Subsection 4006.3, SHPDA shall conduct an on-site pre-operational inspection and review for compliance with all CON requirements.
The CON Holder shall make all portions of the facility or service available for inspection and shall produce all records, including cost records, SHPDA deems necessary to determine compliance with the specifications of the approved CON.
The CON holder shall not begin operation without a Letter of Completion. If, after inspection, the Director determines that a project, or an operational portion of a project, is substantially complete, and that the CON holder has satisfied all requirements and specifications of the CON, the Director shall issue a Letter of Completion for that project or an operational portion of the project.
If all phases of a project are completed, receipt of the Letter of Completion issued under Subsection 4006.6 terminates the CON review process, provided that all conditions included in the CON that have continuing applicability shall remain in effect.
If the Director determines that a project, or an operational portion of a project, is not substantially complete or is not in compliance with all requirements of the CON, the Director shall notify the CON holder in writing of the deficiencies.
A notice of deficiency issued pursuant to Subsection 4006.8 shall:
A CON holder may request reconsideration of, and appeal, a notice of deficiency as if the notice was a denial of a CON, pursuant to Chapter 43 of this title.
D.C. Mun. Regs. tit. 22, r. 22-B4006