Clean & Clear Advantage, LLC v. West Virginia Department of Health, Office of Health Facility Licensure and Certification

Intermediate Court of Appeals of West Virginia·Decided June 9, 2026·No. 25-ICA-298·Published

Opinion

IN THE INTERMEDIATE COURT OF APPEALS OF WEST VIRGINIA Spring 2026 Term FILED

June 9, 2026

No. 25-ICA-298 released at 3:00 p.m.

_____________________________ ASHLEY N. DEEM, CHIEF DEPUTY CLERK INTERMEDIATE COURT OF APPEALS OF WEST VIRGINIA

CLEAN & CLEAR ADVANTAGE, LLC, Plaintiff Below, Petitioner v.

WEST VIRGINIA DEPARTMENT OF HEALTH, OFFICE OF HEALTH FACILITY LICENSURE AND CERTIFICATION, Defendant Below, Respondent

Appeal from the Circuit Court of Kanawha County Honorable Richard D. Lindsay, Judge Civil Action No. CC-20-2025-C-457

AFFIRMED

Submitted: April 29, 2026 Filed: June 9, 2026

Sean W. Cook, Esq. Roberta F. Green, Esq.

South Charleston, West Virginia Tyler L. Rittenhouse, Esq.

Counsel for Petitioner Shuman McCuskey Slicer PLLC Charleston, West Virginia Counsel for Respondent

CHIEF JUDGE GREEAR delivered the Opinion of the Court.

GREEAR, Chief Judge:

Petitioner Clean & Clear Advantage, LLC (“Clean & Clear”), appeals the June 18, 2025, order of the Circuit Court of Kanawha County granting a motion to dismiss filed by respondent, the West Virginia Department of Health, Office of Health Facility Licensure and Certification (“OHFLAC”). In the June 18, 2025, order, the circuit court dismissed the action for lack of subject matter jurisdiction based on Clean & Clear’s failure to exhaust its administrative remedies. The issue on appeal is whether Clean & Clear was required to appeal OHFLAC’s denial of its licensure amendment to the Intermediate Court of Appeals of West Virginia (“ICA”) to exhaust its administrative remedies.

Upon review of the record, applicable law, and the oral and written arguments of counsel, we find no error with the circuit court’s conclusion that Clean & Clear was required to appeal OHFLAC’s denial of its licensure amendment to this Court in order to exhaust its administrative remedies. Although Clean & Clear filed a notice of appeal with this Court, it abandoned its appeal before a final decision on the merits was reached. By not allowing the appeal process to run its course through completion, Clean & Clear failed to exhaust its administrative remedies. We further find that the futility exception to administrative exhaustion does not apply under the specific facts of this case. Accordingly, for these reasons explained in more detail below, we affirm the circuit court’s order granting OHFLAC’s motion to dismiss for lack of subject matter jurisdiction.

I. FACTUAL AND PROCEDURAL HISTORY Clean & Clear operates a drug and alcohol rehabilitation center in Parkersburg, West Virginia. OHFLAC is the state agency charged with enforcing the provisions of licensure for behavioral health centers.1 See W. Va. Code § 27-9-1; see also W. Va. Code R. § 64-11-2.4 (2021).2 In August 2020, Clean & Clear obtained an initial license from OHFLAC to operate a facility with 59 substance abuse treatment beds, which was later amended to permit an additional 55 substance abuse treatment beds.3 In February 2022, OHFLAC authorized Clean & Clear to engage in a construction project to expand the capacity of its Parkersburg facility to accommodate up to 300 beds.4

1 OHFLAC was formerly a division of the West Virginia Department of Health and Human Resources (“DHHR”). On January 1, 2024, DHHR was terminated and restructured into three separate agencies: the Department of Health, the Department of Human Services, and the Department of Health Facilities. See W. Va. Code § 5F-2-1a. Pursuant to this restructuring, OHFLAC was transferred to and incorporated in the Office of the Inspector General, a division within the Department of Health. See id. § 5F-2-1a(c)(2).

2 During the 2025 legislative session, the applicable regulations governing the licensure of behavioral health centers were relocated to West Virginia Code of State Rules Section 71-25-1 to -13. Throughout this opinion, we refer to the regulations previously located at Section 64-11-1 to -13, that were in effect and governed at all times relevant to this appeal.

3 In addition to satisfying regulatory licensing requirements, providers are generally required to obtain a certificate of need from the Health Care Authority. See W. Va. Code § 16-2D-13. At the time of its initial licensing application, however, Clean & Clear was statutorily exempt from this requirement. See id. § 16-2D-11(b)(20) (2020).

4 Providers must submit proposed construction plans for OHFLAC’s approval before construction at a behavioral health center may begin. See W. Va. Code R. § 64-11- 4.5.1 (2021).

In March of 2023, the Legislature amended West Virginia Code § 16-2D-9, eliminating certain exemptions that allowed some facilities to operate without obtaining a certificate of need. Relevant here, the amendments require any facility seeking to add licensed substance abuse treatment beds to obtain a certificate of need if the county already has more than 250 licensed substance abuse treatment beds. It also prohibits issuing a certificate of need in any county where this statutory cap has been exceeded. This amendment was codified and enacted at West Virginia Code § 16-2D-9(5) (2023).

In August 2023, Clean & Clear applied for an amended license to operate with an additional 160 substance abuse treatment beds, consistent with the preliminary construction approval it had received from OHFLAC. Clean & Clear received a letter from OHFLAC, dated August 28, 2023, denying its amended licensure application. In its letter, OHFLAC did not address whether Clean & Clear’s application complied with the applicable regulatory requirements. Instead, OHFLAC declined to consider the merits of the application and cited the recently enacted restriction on the issuance of certificates of need to facilities seeking to add licensed substance abuse treatment beds in excess of the statutory cap per West Virginia Code § 16-2D-9(5).

In October 2023, Clean & Clear appealed the denial of its application to the DHHR Board of Review (“Board of Review”)5 claiming that West Virginia Code § 16-2D-

5 The Board of Review is now the Office of the Inspector General Board of Review.

See W. Va. Code §§ 16B-2-1(f)(6), 16B-2-2(a) (2024); see also supra at n.1.

9(5) does not apply because Clean & Clear opened its facility under an exemption to the certificate of need process that should remain in effect regardless of the amendment to West Virginia Code § 16-2D-9 and, further, that OHFLAC is estopped from denying Clean & Clear an amended license because it invested substantial resources to accommodate the bed expansion in reliance on OHFLAC’s preliminary construction approval. The Board of Review upheld the denial of Clean & Clear’s application for a licensure amendment. In the order dated December 8, 2023, the Board of Review provided the following basis for the decision: “[T]he Board of Review lacks the authority to grant relief based upon, or to consider, the issues raised therein. The Board of Review is bound to apply the pertinent statute, West Virginia Code § 16-2D-9(5), and affirm [OHFLAC]’s denial based upon the same.” Clean & Clear filed a notice of appeal of the Board of Review’s decision with the ICA that was assigned Case No. 24-ICA-22. On April 12, 2024, this Court dismissed Case No. 24-ICA-22 based on Clean & Clear’s failure to perfect the appeal. Clean & Clear did not appeal the ICA’s dismissal order.

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