brochures, pamphlets distributed to the public, etc) Evidence of Financial Resources to Operate the Budget § 12VAC 35-46-20.D.1 ⁭ for Ninety Days (an ongoing 7. A copy of the Organizational Structure § 12VAC 35-46-180 ⁭ 8. Certificate of Occupancy (except services) § 12VAC 35-46-20.D.1 ⁭ § 35-46-420 A 9. Evidence of authority to conduct Business in , § 12VAC 35-46-20.D.1 ⁭ schedule & written staffing plan (list of staff § 12VAC 35-46-20.D.1 ⁭Staffing members with designated positions, qualifications, etc.) § 12VAC 35-46-320 And for residential services: Copy of the Building floor plan, with dimensions § 12VAC 35-46-20.D.1 ⁭ Health Inspection § 12VAC 35-46-420 B ⁭Current 13.⁭ Fire Inspection § 12VAC 35-46-420 D [1-4] Children’s Residential Service Only 14. Articles of Incorporation, By- laws, & Certificate of § 12VAC 35-46-20.D.1 ⁭ Incorporation 15. Articles of Incorporation, By- laws, & Certificate of § 12VAC 35-46-20.D.1 ⁭ Authority Listing of board members, the Executive Committee, or § 12VAC 35-46-20-170 public agency all members of legally accountable governing body References for three officers of the Board including § 12VAC 35-46-20.D.1 ⁭ President, Secretary and Member-at-Large INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT.
brochures, pamphlets distributed to the public, etc) ⁭ Evidence of Financial Resources to Operate the Budget for Ninety Days (an ongoing § 12VAC 35-46-20.D.1 7. ⁭ A copy of the Organizational Structure § 12VAC 35-46-180 8. ⁭ Certificate of Occupancy (except services) § 12VAC 35-46-20.D.1 § 35-46-420 A 9. ⁭ Evidence of authority to conduct Business in , § 12VAC 35-46-20.D.1 ⁭Staffing schedule & written staffing plan (list of staff members with designated positions, qualifications, etc.) § 12VAC 35-46-20.D.1 § 12VAC 35-46-320 And for residential services: ⁭ Copy of the Building floor plan, with dimensions § 12VAC 35-46-20.D.1 ⁭Current Health Inspection § 12VAC 35-46-420 B 13.⁭ Fire Inspection § 12VAC 35-46-420 D [1-4] Children’s Residential Service Only 14. ⁭ Articles of Incorporation, By- laws, & Certificate of Incorporation § 12VAC 35-46-20.D.1 15. ⁭ Articles of Incorporation, By- laws, & Certificate of Authority § 12VAC 35-46-20.D.1 Listing of board members, the Executive Committee, or public agency all members of legally accountable governing body § 12VAC 35-46-20-170 ⁭ References for three officers of the Board including President, Secretary and Member-at-Large § 12VAC 35-46-20.D.1 INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT.
ol-process_for_licensing_12-20-2016_cpk.docx