1.1.3.1Core Standard
Special requirementsStatutory Licences and Compliance
The healthcare facility operates in compliance with all relevant federal, state and local statutory requirements, maintaining valid statutory licences and permits.
Compliance Criteria
- 1Valid Private Healthcare Facilities and Services Act 1998 (Act 586) licence on display
- 2Fire safety certificate (Sijil Perakuan Bomba) renewed and current
- 3Atomic Energy Licensing Board (AELB) licence for radiological apparatus
- 4Poisons and dangerous drugs permits up to date
Hospital Self-Rating
Rated by Pn. Rohani binti Ismail on 18 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"All statutory licences including Act 586 operating licence (HSD/PHF/2019/0417), Bomba Fire Certificate, and AELB permits are current and displayed in the main lobby. Regular renewal compliance tracking is managed by Quality Assurance."
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Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Atomic Energy Licensing Board (AELB) licence for radiological apparatus
- Poisons and dangerous drugs permits up to date
Derived from AccrediSense Evidence Engine · 2 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (2)
LicenceStaleScore: 65/100
Private Healthcare Facilities and Services Act 1998 (Act 586) Operating Licence
Operating licence copy on file predates the latest Form 4 renewal certificate.
4 pages · MS, ENValid: 2022-10-01 to 2024-09-30
CertificateAcceptedScore: 96/100
Bomba Fire Safety Certificate (Sijil Perakuan Bomba)
2 pages · MSValid: 2025-06-01 to 2026-05-31
RI
Person-in-ChargeQuality Manager
Head of DepartmentChief Executive Officer
RI
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)