1. (a) An applicant for initial certification as a community residence shall apply via an application form obtained from the office of legal and regulatory services entitled “Request for Certification of Community Residence and/or Community Participation Services Provider,” incorporated by reference in He-M 1001.20(a).
2. (b) Information entered on the form described in (a) above shall be typewritten or otherwise legibly written.

3. (c) The community residence shall submit with the application:

   1. (1) A copy of any current waivers pertaining to the community residence; and
   2. (2) A new, signed life safety code inspection from the local fire official, completed within the past 90 days.

4. (d) An applicant shall request initial certification for any of the following reasons:

   1. (1) Certification of a new community residence; or

   2. (2) For an existing community residence:

      1. a. A change in physical location; or
      2. b. An increase in the number of certified beds.
5. (e) If the signer of the application knew or should have known that the residential program was not in compliance with applicable statutes and rules at the time of signing, the department shall deny or revoke certification pursuant to He-M 1001.15 (a)(5) or He-M 1001.16 (a)(7).
6. (f) A temporary certification shall be granted for 60 days from the date that the office of legal and regulatory services receives all information required on the application form incorporated by reference in He-M 1001.20 (a).
7. (g) A certification review shall be conducted by the office of legal and regulatory services within 60 days of the date of receipt of all application information required in the application form incorporated by reference in He-M 1001.20 (a) for the purposes of determining whether or not the community residence is in compliance with He-M 1001.
8. (h) If the community residence is not in compliance with He-M 1001 at the certification review required by (g) above, the community residence shall submit a plan of correction in accordance with He-M 1001.14 (c) and (i), and the application form incorporated by reference in He-M 1001.20 (a).
9. (i) If, as a result of a certification review in accordance with (g) above, the community residence is found to be in compliance with He-M 1001, certification shall be granted as specified in He-M 1001.10 (f)(3).
10. (j) An application for certification shall be denied based upon criteria listed in He-M 1001.15 (a).

Source. (See Revision Note at part heading for He-M 1001) #5867, eff 9-1-94; ss by #6582, eff 9-19-97; ss by #7681, eff 4-23-02; ss by #9696, INTERIM, eff 4-23-10, EXPIRES: 10-20-10; ss by #9776-A, eff 10-1-10, EXPIRED: 10-1-18 New. #12650, INTERIM, eff 10-24-18, EXPIRED 4-22-19 New. #12775, eff 5-7-19; ss by #14255, eff 5-23-25, EXPIRES: 5-23-35