On October 2, 2018, HHSC issued a Long-Term Care Regulatory letter to clarify previous letters regarding time frames for expedited Life Safety Code Inspections. The letter is located here. Here are pertinent quotes from the letter:
A NF or ALF license applicant may submit a written request for an ELSC and
fee at any time during the application process. When the licensing specialist
has a complete application and fee, and a written request for ESLC
inspection and fee a request is made to Survey Operations for the ELSC
inspection. Survey Operations will schedule the ELSC within 15 business
days. HHSC’s inspection may occur on any day within the applicable 15-
business-day time frame.
The ELSC inspection could occur as early as the next business day.
The applicant must be ready for inspection once Survey Operations has the
request. The fee covers only one ELSC inspection.