Current through Register Vol. 46, No. 39, September 25, 2024
The completed application to the Office must include the
following:
(a) the name of the
residential program;
(b) the type
of residential program for victims of domestic violence which the applicant
seeks to operate;
(c) with the
exception of safe home networks, safe homes, domestic violence sponsoring
agencies, and safe dwellings, evidence of inspection and approval from
applicable local authorities and officials, regarding compliance with health,
sanitation, fire safety and building code requirements;
(d) the name and address of the
not-for-profit organization operating the residential program, and, where
applicable, either:
(1) a copy of the
articles of association and proof of Federal tax-exempt status; or
(2) a copy of the certificate of
incorporation and verification of filing with the Department of State for
incorporation;
(e)
satisfactory evidence of finances sufficient to operate properly and in
accordance with this Part, including:
(1) a
projected annual budget showing anticipated operating expenses and income;
and
(2) a copy of the most recent
financial report prepared by a certified public accountant or most recent State
and Federal tax returns of the applicant organization. If an organization has
been in existence for less than one year and if neither are available, a
statement of the organization's assets and liabilities, signed by an Officer of
the organization;
(f) a
description of the residential program and services which must include the
following:
(1) a description of how the
required emergency core services for the particular program will be delivered,
the methods by which persons will gain access to the program, intake procedures
for persons in need of temporary shelter, and rules regarding length of stay
for persons receiving temporary shelter;
(2) a description of community support and
efforts to establish community linkages with police, family courts, local
social services district, other domestic violence programs, local animal
welfare organizations, and other community agencies;
(3) a copy of the resident's rights and
responsibilities, and the program's responsibilities;
(4) a plan for the safety and security of
residents and a statement indicating the extent to which the site location is
known to the general public;
(5) a
description of disaster and emergency plans which must include provision for
obtaining emergency medical care;
(6) a description of available meal
provisions;
(7) with the exception
of safe home networks and domestic violence sponsoring agencies, a description
of the method and frequency of fire drills; and
(8) any other information required by the
Office to further the purposes of this Part;
(g) a description of staffing which must
include:
(1) copies of all policies showing
compliance with the requirements of section
452.11 of
this Part;
(2) a description of
the pattern of supervision of staff by the director or other responsible
person, schedule and content of training and use of training resources (such as
other agencies, conferences, college courses); and
(3) a sample of all forms used by the program
including admission forms, resident's rights and responsibilities, and program
responsibilities; and
(h) with the exception of safe home networks
and domestic violence sponsoring agencies, a description of the proposed or
actual facility site, including its location, construction characteristics, use
of the building for purposes other than the provision of services to victims of
domestic violence and a diagrammatic floor plan of the entire facility.
(1) The diagram must be labeled with the
planned use of all program areas, and must indicate plumbing fixtures, such as
toilets, sinks and bathtubs and/or showers and the means of egress.
(2) The diagram must also reflect the
facility's security plan.
(3) A
facility may not expand its services or increase its capacity unless it has
received prior written approval of the Office and has complied with all
applicable Office regulations.
