The director or manager of the establishment or service must inform the President of the Departmental Council without delay of any proposed change relating to one of the elements of the application for authorisation or for the opinion defined in II of article R. 2324-18 as well as those in I of article R. 2324-19, or to one of the mentions in the authorisation or the opinion provided for in articles R. 2324-20 and R. 2324-22. 2324-22, is immediately brought to the attention of the President of the Departmental Council by the director or manager of the establishment or service.
Within a period of one month from receipt of the request for modification, the President of the Departmental Council may refuse the modification or issue an unfavourable opinion on its implementation. Failure to respond within this period will be deemed to constitute authorisation or a favourable opinion.
Reasons must be given for any refusal of authorisation or unfavourable opinion; it may not be based on requirements other than those set out in this section.
The provisions of III and IV of article R. 2324-18 as well as those of I of article R. 2324-19 are applicable to any modification involving a change of manager or category of establishment or an extension of the premises of an existing establishment or service.