Checklist for Re-Licensure- Pediatric Day Health Care (PDHC) Facility

In order to renew a license, the PDHC facility shall submit a completed license renewal application packet to the department at least 30 days prior to the expiration of the existing current license.

 

The license renewal application packet shall include:

  1. A completed PDHC licensure application (HSS Form)
  2. A non-refundable licensing fee of $600 (Payment Procedure website)
  3. A copy of the on-site inspection report with approval for occupancy from the Office of the State Fire Marshall
  4. A copy of the health inspection report with approval of occupancy from the Office of Public Health
  5. Proof of financial viability comprised of the following:
    1. A line of credit issued from a federally insured, licensed lending institution in the amount of at least $100,000;
    2. General and professional liability insurance of at least $300,000; and
    3. Worker’s compensation insurance

Failure to submit a completed license renewal application packet prior to the expiration of the current license shall result in the voluntary non-renewal of the PDHC license.