44-110.11 Special requirements for ALRs with 17 beds or more.
(a) An ALR that provides sleeping accommodations for more than 16 residents shall comply
with this subchapter.
(b) The ALR may be free-standing or a distinct part of an institutional occupancy.
(c) The ALR shall be responsible for providing or coordinating personalized care to individuals
who reside in their own living units (which may include dually occupied units) which may or
may not include a kitchenette or living rooms and which contain bedrooms.
(d) Living units may or may not include bathrooms; except that, no more than 4 residents
shall share a common bathroom. Shared bathrooms shall be in close proximity and on the
same floor as living units or bedrooms.
(e) Living units or bedrooms may be locked at the discretion of the residents, except when the
resident’s assessment documents indicate otherwise.
(f) An ALR shall have a central dining room, living room or parlor, and common activity center
(which may also serve as living rooms or dinirig rooms).
(g) An ALR providing 17 beds or more shall be in compliance with section 512 of Title 12 of the
District of Columbia Municipal Regulations, making the facility accessible to residents with
physical disabilities and aged residents.
(h) An ALR shall ensure that all food is prepared and served in accordance with Chapters 20
through 24 of Title 23 of the District of Columbia Municipal Regulations and shall organize
plumbing facilities to insure that food is processed and served so as to be safe for human

44-110.12 Certificate of Need.
A Certificate of Need shall not be required for Assisted Living Residences licensed under this

44-111.01. Insurance for Assisted Living Residences.
44-111.01Search Term End Insurance for Assisted Living Residences.
(a) Each ALR shall carry insurance for at least the following:
(1) Hazards (fire and extended coverage) in the amount of $500.00 per resident to protect
belongings with a minimum of $2,000 of coverage per facility;
(2) Premises, personal injury, and products liability at least in the following amounts:
(A) For one to 2 beds, $100,000 per occurrence;
(B) For 3 to 9 beds, $300,000 per occurrence; and
(C) For 10 or more beds, $500,000 per occurrence; and
(3) Incidental malpractice coverage specific to the duties required of an ALA manager or any
a staff member in the amount of at least $100,000.
(b) If an ALR is not owned by the operator or manager, the operator or manager shall obtain
proof of the owner’s premises liability coverage, such as a certificate of standard landlord
coverage, or shall place the owner on the operator’s or manager’s policy as an additional
named insured.

44-112.02 Appeals from actions of the Mayor.
A person or licensee aggrieved by an action of the Mayor under this chapter may appeal the
Mayor’s action by filing a request for hearing as provided in § 44-505.

44-113.01 Rulemaking by the Mayor.
The Mayor shall promulgate proposed rules where necessary to supplement the provisions of
this chapter. The proposed rules shall be submitted to the Council for a 45-day period of
review, excluding Saturdays, Sundays, legal holidays, and days of Council recess. If the
Council does not approve or disapprove the proposed rules, in whole or in part, by resolution
within the 45-day review period, the proposed rules shall be deemed approved