A Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Service for Preventive Long-Term Care, and Designated Preventive Long-Term Care Support Provider, and the establishers of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, and an integrated facility for medical and long-term care (hereinafter referred to as a "Long-Term Care Service Provider"), must establish an operational control system in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, so as to ensure the performance of the obligations prescribed in Article 74, paragraph (6), Article 78-4, paragraph (8), Article 81, paragraph (6), Article 88, paragraph (6), Article 97, paragraph (7), Article 111, paragraph (7), Article 115-4, paragraph (6), Article 115-14, paragraph (8), or Article 115-24, paragraph (6).
指定居宅サービス事業者、指定地域密着型サービス事業者、指定居宅介護支援事業者、指定介護予防サービス事業者、指定地域密着型介護予防サービス事業者及び指定介護予防支援事業者並びに指定介護老人福祉施設、介護老人保健施設及び介護医療院の開設者（以下「介護サービス事業者」という。）は、第七十四条第六項、第七十八条の四第八項、第八十一条第六項、第八十八条第六項、第九十七条第七項、第百十一条第七項、第百十五条の四第六項、第百十五条の十四第八項又は第百十五条の二十四第六項に規定する義務の履行が確保されるよう、厚生労働省令で定める基準に従い、業務管理体制を整備しなければならない。
A Long-Term Care Service Provider must, according to the categories listed in the following items, notify the person specified in each of those items of matters concerning the establishment of an operational control system, as provided by Order of the Ministry of Health, Labour and Welfare:
介護サービス事業者は、次の各号に掲げる区分に応じ、当該各号に定める者に対し、厚生労働省令で定めるところにより、業務管理体制の整備に関する事項を届け出なければならない。
a Long-Term Care Service Provider other than the Long-Term Care Service Providers listed in the following item through item (vi): the prefectural governor;
a Long-Term Care Service Provider other than the Long-Term Care Service Providers listed in the following item through item (vi), whose Business Offices pertaining to said designation, or facilities pertaining to said designation or permission (including those with different types of In-Home Service, etc. pertaining to said designation or permission), are located in the areas of two or more prefectures and in the jurisdictional areas of not more than two Regional Bureaus of Health and Welfare: the prefectural governor of the prefecture where the principal office of said Long-Term Care Service Provider is located;
a Long-Term Care Service Provider other than the Long-Term Care Service Providers listed in item (v), all of whose Business Offices pertaining to said designation, or all of whose facilities pertaining to said designation or permission (including those with different types of In-Home Service, etc. pertaining to said designation or permission), are located within the area of a single designated city under Article 252-19, paragraph (1) of the Local Autonomy Act (hereinafter referred to as a "designated city"): the head of the designated city;
a Long-Term Care Service Provider other than the Long-Term Care Service Providers listed in the following item, all of whose Business Offices pertaining to said designation, or all of whose facilities pertaining to said designation or permission (including those with different types of In-Home Service, etc. pertaining to said designation or permission), are located within the area of a single core city under Article 252-22, paragraph (1) of the Local Autonomy Act (hereinafter referred to as a "core city"): the head of the core city;
a Long-Term Care Service Provider that conducts only Community-Based Service Business or Community-Based Preventive Long-Term Care Business, all of whose Business Offices pertaining to said designation (including those with different types of Community-Based Service or Community-Based Service for Preventive Long-Term Care pertaining to said designation) are located within the area of a single Municipality: the mayor of the Municipality;
地域密着型サービス事業又は地域密着型介護予防サービス事業のみを行う介護サービス事業者であって、当該指定に係る全ての事業所（当該指定に係る地域密着型サービス又は地域密着型介護予防サービスの種類が異なるものを含む。）が一の市町村の区域に所在するもの 市町村長
a Long-Term Care Service Provider whose Business Offices pertaining to said designation, or facilities pertaining to said designation or permission (including those with different types of In-Home Service, etc. pertaining to said designation or permission), are located in the jurisdictional areas of three or more Regional Bureaus of Health and Welfare: the Minister of Health, Labour and Welfare.
A Long-Term Care Service Provider that has submitted notification pursuant to the provisions of the preceding paragraph must, when there is a change in the matters notified, notify the Minister of Health, Labour and Welfare, prefectural governor, head of a designated city, head of a core city, or mayor of a Municipality to whom said notification was submitted (hereinafter referred to as the "Minister of Health, Labour and Welfare, etc." in this Section) of that fact without delay, as provided by Order of the Ministry of Health, Labour and Welfare.
A Long-Term Care Service Provider that has submitted notification pursuant to the provisions of paragraph (2) must, when, due to a change in the categories listed in the items of that paragraph, it submits notification to a Minister of Health, Labour and Welfare, etc. other than the Minister of Health, Labour and Welfare, etc. to whom it submitted said notification pursuant to the provisions of that paragraph, notify the Minister of Health, Labour and Welfare, etc. to whom it submitted said notification of that fact as well, as provided by Order of the Ministry of Health, Labour and Welfare.
The Minister of Health, Labour and Welfare, etc. are to cooperate closely with one another so that notification pursuant to the provisions of the preceding three paragraphs is made properly.