A facility may begin operating on what date?

The correct point at which a facility may begin operating is the effective date of the temporary license. This is significant because temporary licenses are often granted when a facility has met the basic necessary standards to begin operations while they finalize the licensing process. This allows new facilities to open and serve residents while still undergoing comprehensive inspections and evaluations required for a permanent license.

In the context of the other options, the effective date of the permanent license indicates that a facility has completed all requirements and is fully licensed, which is not suitable for initial operation. The submission of an application alone does not grant permission to operate, as it merely initiates the licensing process. Lastly, completion of inspection is a crucial aspect of obtaining a license, yet it does not equate to being able to begin operations immediately. The temporary license route ensures that there is a pathway for operation while still maintaining oversight and compliance with health and safety regulations.