Article 78-2-2Special Provisions for Coexistence-Type Community-Based Service Providers
第七十八条の二の二（共生型地域密着型サービス事業者の特例）
In a case when, with regard to a Business Office pertaining to Community-Based Outpatient Day Long-Term Care or another Community-Based Service specified by Order of the Ministry of Health, Labour and Welfare, an application set forth in paragraph (1) of the preceding Article (including as applied mutatis mutandis pursuant to Article 70-2, paragraph (4) as applied mutatis mutandis pursuant to Article 78-12) pertaining to said Business Office is filed by a person who has received the designation under Article 21-5-3, paragraph (1) of the Child Welfare Act (limited to that pertaining to the type of day support for children with disabilities specified by Order of the Ministry of Health, Labour and Welfare according to the type of Community-Based Service provided by said Business Office) or the designation as a Designated Provider of welfare service for persons with disabilities under Article 29, paragraph (1) of the Comprehensive Support for Persons with Disabilities Act (limited to that pertaining to the type of welfare service for persons with disabilities specified by Order of the Ministry of Health, Labour and Welfare according to the type of Community-Based Service provided by said Business Office), and all of the following items are satisfied, with regard to the application of paragraph (4) of the preceding Article (including as applied mutatis mutandis pursuant to Article 70-2, paragraph (4) as applied mutatis mutandis pursuant to Article 78-12; the same applies hereinafter in this paragraph), the phrase "as set forth in Article 78-4, paragraph (1)" in item (ii) of that paragraph is deemed to be replaced with "pertaining to employees that engage in the Designated Community-Based Service set forth in paragraph (1), item (i) of the following Article", the phrase "or the number of employees determined by Municipal Ordinance as set forth in the same paragraph, or the standards concerning employees that engage in Designated Community-Based Service as prescribed in paragraph (5) of the same Article" is deemed to be replaced with "or the number of employees determined by Municipal Ordinance as set forth in the same item", and the phrase "Article 78-4, paragraph (2) or paragraph (5)" in item (iii) of that paragraph is deemed to be replaced with "paragraph (1), item (ii) of the following Article"; provided, however, that this does not apply when the applicant has given a different notification as provided by Order of the Ministry of Health, Labour and Welfare:
地域密着型通所介護その他厚生労働省令で定める地域密着型サービスに係る事業所について、児童福祉法第二十一条の五の三第一項の指定（当該事業所により行われる地域密着型サービスの種類に応じて厚生労働省令で定める種類の障害児通所支援に係るものに限る。）又は障害者総合支援法第二十九条第一項の指定障害福祉サービス事業者の指定（当該事業所により行われる地域密着型サービスの種類に応じて厚生労働省令で定める種類の障害福祉サービスに係るものに限る。）を受けている者から当該事業所に係る前条第一項（第七十八条の十二において準用する第七十条の二第四項において準用する場合を含む。）の申請があった場合において、次の各号のいずれにも該当するときにおける前条第四項（第七十八条の十二において準用する第七十条の二第四項において準用する場合を含む。以下この項において同じ。）の規定の適用については、前条第四項第二号中「第七十八条の四第一項の」とあるのは「次条第一項第一号の指定地域密着型サービスに従事する従業者に係る」と、「若しくは同項」とあるのは「又は同号」と、「員数又は同条第五項に規定する指定地域密着型サービスに従事する従業者に関する基準」とあるのは「員数」と、同項第三号中「第七十八条の四第二項又は第五項」とあるのは「次条第一項第二号」とする。ただし、申請者が、厚生労働省令で定めるところにより、別段の申出をしたときは、この限りでない。
the knowledge and skills of the employees of the Business Office pertaining to said application, and the number of its personnel, satisfy the standards determined by Municipal Ordinance concerning employees that engage in Designated Community-Based Service and the number of employees determined by Municipal Ordinance;
当該申請に係る事業所の従業者の知識及び技能並びに人員が、指定地域密着型サービスに従事する従業者に係る市町村の条例で定める基準及び市町村の条例で定める員数を満たしていること。
it is found that the applicant is able to properly operate a Community-Based Service Business in accordance with the standards concerning facilities and management of the business of Designated Community-Based Service determined by Municipal Ordinance.
申請者が、市町村の条例で定める指定地域密着型サービスの事業の設備及び運営に関する基準に従って適正な地域密着型サービス事業の運営をすることができると認められること。
A Municipality, in establishing the Municipal Ordinances set forth in the items of the preceding paragraph, is to establish the matters listed in item (i) through item (iv) in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (v) using the standards determined by Order of the Ministry of Health, Labour and Welfare as the benchmark, and is to take into consideration the standards determined by Order of the Ministry of Health, Labour and Welfare for other matters:
市町村が前項各号の条例を定めるに当たっては、第一号から第四号までに掲げる事項については厚生労働省令で定める基準に従い定めるものとし、第五号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。
the standards concerning employees that engage in Designated Community-Based Service and the number of said employees;
指定地域密着型サービスに従事する従業者に係る基準及び当該従業者の員数
the floor area of residence rooms pertaining to the business of Designated Community-Based Service;
指定地域密着型サービスの事業に係る居室の床面積
the number of maximum users pertaining to the business of Multifunctional Long-Term Care in a Small Group Home and outpatient long-term care for a Dementia patient;
小規模多機能型居宅介護及び認知症対応型通所介護の事業に係る利用定員
matters concerning the operation of the business of Designated Community-Based Service that are determined by Order of the Ministry of Health, Labour and Welfare as being closely related to the appropriate use of services by Persons Requiring Long-Term Care who use them, appropriate treatment, ensuring of safety, and maintenance of confidentiality, etc.;
指定地域密着型サービスの事業の運営に関する事項であって、利用する要介護者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの
the number of maximum users pertaining to the business of Designated Community-Based Service (excluding the business prescribed in item (iii)).
指定地域密着型サービスの事業（第三号に規定する事業を除く。）に係る利用定員
The Minister of Health, Labour and Welfare, when intending to establish the standards determined by Order of the Ministry of Health, Labour and Welfare prescribed in the preceding paragraph (limited to the part concerning the handling of Designated Community-Based Service), must hear the opinion of the Social Security Council in advance.
厚生労働大臣は、前項に規定する厚生労働省令で定める基準（指定地域密着型サービスの取扱いに関する部分に限る。）を定めようとするときは、あらかじめ社会保障審議会の意見を聴かなければならない。
In the case referred to in paragraph (1), when the person prescribed in that paragraph has received the designation under the main clause of Article 42-2, paragraph (1) pertaining to the application set forth in that paragraph, the provisions of Article 78-4, paragraph (2) through paragraph (6) do not apply to that person, and with regard to the application of the provisions listed in the upper column of the following table, the words listed in the middle column of the same table in those provisions are deemed to be replaced with the words listed in the lower column of the same table respectively.
| Article 42-2, paragraph (8) | Article 78-4, paragraph (2) or paragraph (5) | Article 78-2-2, paragraph (1), item (ii) |
| Article 78-3, paragraph (1) | paragraph (2) or paragraph (5) of the following Article | paragraph (1), item (ii) of the preceding Article |
| Article 78-4, paragraph (1) | as determined by Municipal Ordinance in accordance with the standards as determined by Municipal Ordinance | as determined by Municipal Ordinance under Article 78-2-2, paragraph (1), item (i) in accordance with the standards as determined by Municipal Ordinance pertaining to employees that engage in the Designated Community-Based Service set forth in that item |
| Article 78-9, paragraph (1), item (ii) | as set forth in Article 78-4, paragraph (1) | pertaining to employees that engage in the Designated Community-Based Service set forth in Article 78-2-2, paragraph (1), item (i) |
| as set forth in the same paragraph | as set forth in the same item | |
| the number of employees determined by Municipal Ordinance as set forth in the same paragraph, or the standards concerning employees that engage in Designated Community-Based Service as prescribed in paragraph (5) of the same Article | the number of employees determined by Municipal Ordinance as set forth in the same item | |
| "若しくは" (or, joining a smaller group of alternatives) said Municipality | "又は" (or, joining a larger group of alternatives) said Municipality | |
| the number of employees determined by the Municipal Ordinance of said Municipality, or the standards concerning employees that engage in said Designated Community-Based Service | the number of employees determined by the Municipal Ordinance of said Municipality | |
| Article 78-9, paragraph (1), item (iii) | Article 78-4, paragraph (2) or paragraph (5) | Article 78-2-2, paragraph (1), item (ii) |
| Article 78-10, item (iv) | as set forth in Article 78-4, paragraph (1) | pertaining to employees that engage in the Designated Community-Based Service set forth in Article 78-2-2, paragraph (1), item (i) |
| as set forth in the same paragraph | as set forth in the same item | |
| the number of employees determined by Municipal Ordinance as set forth in the same paragraph, or the standards concerning employees that engage in Designated Community-Based Service as prescribed in paragraph (5) of the same Article | the number of employees determined by Municipal Ordinance as set forth in the same item | |
| Article 78-10, item (v) | Article 78-4, paragraph (2) or paragraph (5) | Article 78-2-2, paragraph (1), item (ii) |
第一項の場合において、同項に規定する者が同項の申請に係る第四十二条の二第一項本文の指定を受けたときは、その者に対しては、第七十八条の四第二項から第六項までの規定は適用せず、次の表の上欄に掲げる規定の適用については、これらの規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。
| 第四十二条の二第八項 | 第七十八条の四第二項又は第五項 | 第七十八条の二の二第一項第二号 |
| 第七十八条の三第一項 | 次条第二項又は第五項 | 前条第一項第二号 |
| 第七十八条の四第一項 | 市町村の条例で定める基準に従い | 第七十八条の二の二第一項第一号の指定地域密着型サービスに従事する従業者に係る市町村の条例で定める基準に従い同号の |
| 第七十八条の九第一項第二号 | 第七十八条の四第一項の | 第七十八条の二の二第一項第一号の指定地域密着型サービスに従事する従業者に係る |
| 若しくは同項 | 又は同号 | |
| 員数又は同条第五項に規定する指定地域密着型サービスに従事する従業者に関する基準 | 員数 | |
| 若しくは当該市町村 | 又は当該市町村 | |
| 員数又は当該指定地域密着型サービスに従事する従業者に関する基準 | 員数 | |
| 第七十八条の九第一項第三号 | 第七十八条の四第二項又は第五項 | 第七十八条の二の二第一項第二号 |
| 第七十八条の十第四号 | 第七十八条の四第一項の | 第七十八条の二の二第一項第一号の指定地域密着型サービスに従事する従業者に係る |
| 若しくは同項 | 又は同号 | |
| 員数又は同条第五項に規定する指定地域密着型サービスに従事する従業者に関する基準 | 員数 | |
| 第七十八条の十第五号 | 第七十八条の四第二項又は第五項 | 第七十八条の二の二第一項第二号 |
A person prescribed in paragraph (1) who has received the designation under the main clause of Article 42-2, paragraph (1) pertaining to the application set forth in that paragraph, when intending to discontinue or suspend the business of designated day support prescribed in Article 21-5-3, paragraph (1) of the Child Welfare Act (limited to that conducted at the Business Office pertaining to said designation) or the business of designated welfare service for persons with disabilities prescribed in Article 29, paragraph (1) of the Comprehensive Support for Persons with Disabilities Act (limited to that conducted at the Business Office pertaining to said designation), must notify the mayor of the Municipality that made said designation to that effect, as provided by Order of the Ministry of Health, Labour and Welfare, no later than one month before the date of the discontinuation or suspension. In this case, when said notification is made, notification of discontinuation or suspension of the business pursuant to the provisions of Article 78-5, paragraph (2) is deemed to have been made with regard to the business of Designated Community-Based Service pertaining to said designation.
第一項に規定する者であって、同項の申請に係る第四十二条の二第一項本文の指定を受けたものは、児童福祉法第二十一条の五の三第一項に規定する指定通所支援の事業（当該指定に係る事業所において行うものに限る。）又は障害者総合支援法第二十九条第一項に規定する指定障害福祉サービスの事業（当該指定に係る事業所において行うものに限る。）を廃止し、又は休止しようとするときは、厚生労働省令で定めるところにより、その廃止又は休止の日の一月前までに、その旨を当該指定を行った市町村長に届け出なければならない。この場合において、当該届出があったときは、当該指定に係る指定地域密着型サービスの事業について、第七十八条の五第二項の規定による事業の廃止又は休止の届出があったものとみなす。
Read this with the articles around it