Mass. Gen. Laws ch. 19B, § 15
(a) The department shall issue for a term of two years, and may renew for like terms, a license, subject to revocation by it for cause, to any private, county or municipal facility or department or ward of any such facility which offers to the public residential or day care services and is represented as providing treatment of persons with an intellectual disability, and which is deemed by it to be responsible and suitable to meet applicable licensure standards and requirements, except that: