Current through Register Vol. 47, No. 6, September 18, 2024
The division shall provide license application forms on the
department's Web site and at its office. An applicant shall submit application
materials to the division. The division will proceed with inspection of the
applicant upon receipt of a complete application. To be complete, an
application must include all required materials and be responsive to all
licensure standards, as described in these rules.
(1)
Application information.
An applicant shall submit application materials on the forms provided and in
the required format. Application materials shall include, but may not be
limited to:
a. The name and address of the
applicant and, if the applicant is part of a larger organization, the name and
address of the larger organization.
b. The name and address of the applicant's
executive director and, if the applicant is part of a larger organization, the
name and address of the executive director of the larger
organization.
c. The names, titles,
dates of employment, education, and years of current job-related experience of
the applicant's staff; and the table of organization. If the applicant is part
of a larger organization or has multiple organizational components and physical
facilities, the relationships between the larger organization, organizational
components and physical facilities must be shown on the table of organization,
with the applicant and applicant's staff positions clearly
delineated.
d. The names and
addresses of members of the applicant's governing body, sponsors, and advisory
boards; and the current articles of incorporation and bylaws.
e. The names and addresses of individuals,
facilities, organizations, and legal entities with which the applicant has a
contractual or affiliation agreement pertaining to licensed program services.
f. A description of the licensed
program services to be provided by the applicant and a calendar showing program
services each week.
g. For each
physical facility, copies of reports substantiating compliance with federal,
state and local laws, rules and regulations, to include appropriate Iowa
department of inspections and appeals rules, state fire marshal rules and fire
ordinances, and local health, fire, occupancy, and safety
regulations.
h. Information
required for programs admitting juveniles as described under Iowa Code section
125.14A.
i. Fiscal management information, to include
a recent audit or opinion of auditor and program board minutes to reflect
approval of the program's budget and insurance.
j. Insurance coverage related to professional
and general liability, building, workers' compensation, and fidelity
bond.
k. The address of each
physical facility.
l. The written
policies and procedures manual that covers all the requirements of these
rules.
(2)
Application time frame. An applicant seeking to be licensed
subsequent to a 270-day initial license or a licensee seeking to renew a one-,
two-, or three-year license or to significantly change a currently licensed
program shall submit an application at least 90 days before expiration of the
current license or before the program change.
(3)
License under deemed
status. An organization seeking to be licensed under deemed status
shall submit an application.
