(a) The regional center may recommend for participation, to the State Department of Developmental Services, an applicant to provide services as part of an approved community placement plan if the applicant meets all of the following requirements:

1. (1) The applicant employs or contracts with a program administrator who has a successful record of administering residential services for at least two years, as evidenced by substantial compliance with the applicable state licensing requirements.

2. (2) The applicant prepares and submits, to the regional center, a complete facility program plan that includes, but is not limited to, all of the following:

   1. (A) The total number of the consumers to be served.
   2. (B) A profile of the consumer population to be served, including their health care and intensive support needs.
   3. (C) A description of the program components, including a description of the health care and intensive support services to be provided.
   4. (D) A week’s program schedule, including proposed consumer day and community integration activities.
   5. (E) A week’s proposed program staffing pattern, including licensed, unlicensed, and support personnel and the number and distribution of hours for such personnel.
   6. (F) An organizational chart, including identification of lead and supervisory personnel.
   7. (G) The consultants to be utilized, including their professional disciplines and hours to be worked per week or month, as appropriate.
   8. (H) The plan for accessing and retaining consultant and health care services, including assessments, in the areas of physical therapy, occupational therapy, respiratory therapy, speech pathology, audiology, pharmacy, dietary/nutrition, dental, and other areas required for meeting the needs identified in consumers’ individual health care plans.
   9. (I) A description, including the size, layout, location, and condition of the proposed home.
   10. (J) A description of the equipment and supplies available, or to be obtained, for programming and care.
   11. (K) The type, location, and response time of emergency medical service personnel.
   12. (L) The in-service training program plan for at least the next 12 months, that shall include the plan for ensuring that the direct care personnel understands their roles and responsibilities related to implementing individual health care plans, prior to, or within, the first seven days of providing direct care in the home and for ensuring the administrator understands the unique roles, responsibilities, and expectations for administrators of community-based facilities.
   13. (M) The plan for ensuring that outside services are coordinated, integrated, and consistent with those provided by the ARFPSHN or the GHCSHN.
   14. (N) Written certification that an alternative power system required by subdivision (h) of Section 4684.53 meets the manufacturer’s recommendations for installation and operation.
3. (3) Submits a proposed budget itemizing direct and indirect costs, total costs, and the rate for services.
4. (4) The applicant submits written certification that they have the ability to comply with all of the requirements of Section 1520 of the Health and Safety Code.