Pennsylvania Code
Title 55 - HUMAN SERVICES
Part I - Department of Human Services
Subpart C - Licensing/Approval
Chapter 20 - LICENSURE OR APPROVAL OF FACILITIES AND AGENCIES
APPLICATION
Section 20.21 - Application form

(a) The legal entity responsible for a facility or agency subject to approval under Article IX of the Public Welfare Code (62 P.S. §§ 901-922) shall submit an application for a certificate of compliance prior to the inspection and issuance of a certificate of compliance by the Department.

(b) The legal entity responsible for a facility or agency subject to licensure under Article X of the Public Welfare Code (62 P.S. §§ 1001-1080) shall submit an application for a certificate of compliance prior to commencing operation of the facility or agency and may not commence operation until notified that a certificate of compliance will be issued.

(c) The application for a certificate of compliance shall be completed and submitted on the form prescribed and provided by the Department.

(d) The legal entity shall complete and submit a separate application for a certificate of compliance for each facility or agency subject to licensure or approval.

(e) The legal entity shall report on the application for a certificate of compliance fictitious names which are required by statute to register with the Department of State under 54 Pa.C.S. §§ 301-332 (relating to fictitious names).