A. All providers that are not currently licensed shall be required to apply for a license using the application designated by the commissioner. Providers applying for a license shall submit:

1. 운영 첫 해의 예상 수입과 지출을 보여주는 작업 예산서, 수입 계획서를 포함합니다.

2. Documentation of working capital to include:

a. Funds or a line of credit sufficient to cover at least 90 days of operating expenses if the provider is a corporation, unincorporated organization or association, a sole proprietor, or a partnership.

b. 제공자가 국가 또는 지방 정부 기관, 위원회 또는 위원회인 경우의 배정된 수입.

3. 버지니아 주(Commonwealth of Virginia)에서 사업을 수행하기 위한 권한 증명서.

4. A disclosure statement identifying the:

a. legal Legal names and dates of any services licensed in Virginia or other states that the applicant holds or has held, previous sanctions or negative actions against any license to provide services that the applicant holds or has held in any other state or in Virginia, and the names and dates of any disciplinary actions involving the applicant's current or past licensed services 이름 of the applicant and, if the applicant is an association, partnership, limited liability company, or corporation, the names and addresses of its officers, agents, sponsors, partners, shareholders, or members; and

b. Legal name under which the applicant, any entity that operates group homes that is affiliated with or under common ownership or control with the applicant, and any entity that operates group homes and that is affiliated with or under common ownership or control with any officer, agent, sponsor, partner, shareholder, or member of the applicant to which a license to operate a service has been issued in any other state, together with a list of the states in which such licenses have been issued and the dates of any services licensed for which such licenses were issued; and

c. previous Previous revocations, suspensions, sanctions, or negative actions against any license to provide services that the applicant holds or has held in any other state or in Virginia, including and the names, and dates, and descriptions of any such disciplinary actions involving the applicant's current or past licensed services.

B. Providers shall submit an application listing each service to be provided and submit the following items for each service:

1. 인력 배치 계획;

2. Employee credentials and job descriptions containing all the elements outlined in 12VAC35-105-410 A;

3. A service description containing all the elements outlined in 12VAC35-105-580 C; and

4. Records management policy containing all the elements outlined in 12VAC35-105-390 and 12VAC35-105-870 A.

C. The provider shall confirm his intent to renew the license prior to the expiration date of the license and notify the department in advance of any changes in service or location.