Psychiatric Residential Treatment Facilities (PRTF) Initial Licensure
The following forms and fees must be submitted to Health Standards Section:
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Copy of approval letter of Architectural Review (AR) of the facility plans from the Office of the State Fire Marshal (OSFM)
- Copy of approval letter of Department of Health (DH) facility plans review from the Office of the State Fire Marshal (OSFM)
- Cautionary codes from the Office of the State Fire Marshal (OSFM)
- Attestation for compliance with plan review Cautionary Codes
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Copy of on-site inspection report with approval for occupancy by the Office of the State Fire Marshal
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Copy of health inspection report with approval for occupancy from the Office of Public Health (OPH)
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Copy of statewide criminal background checks on all individual owners with 5% or more owner interest in the PRTF entity, and on all members of PRTF's board of directors, if applicable, and administrators;
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Proof of financial viability, comprised of the following:
a. line of credit issued from a federally insured, licensed lending institution in the amount of at least $100,000
b. general professional liability insurance of at least $300,00; and
c. worker's compensation insurance -
Floor sketch or drawing of the premises to be licensed