Section 1568.04 Of Chapter 3.01. Residential Care Facilities For Persons With Chronic Life-threatening Illness From California Health And Safety Code >> Division 2. >> Chapter 3.01.
1568.04
. Any person desiring issuance of a license for a
residential care facility under this chapter shall file with the
department, pursuant to regulations adopted by the department, an
application. The application shall be provided on a form furnished by
the department, and shall include, but not be limited to, all of the
following:
(a) Evidence satisfactory to the department of all of the
following:
(1) The ability of the applicant to comply with this chapter and
of rules and regulations adopted pursuant to this chapter by the
department.
(2) The applicant has sufficient financial resources to maintain
the standards of service required by regulations adopted pursuant to
this chapter.
(3) Following the department's adoption of regulations specifying
the levels of care to be provided under this chapter, the applicant's
ability to meet regulatory requirements for the level of care the
facility intends to provide.
(4) Compliance or ability to comply with Section 1568.02.
(b) Disclosure of the applicant's prior or present service as an
administrator, general partner, corporate officer or director of, or
as a person who has held or holds a beneficial ownership of 10
percent or more in, any residential care facility or in any clinic or
facility licensed pursuant to Chapter 1 (commencing with Section
1200), Chapter 2 (commencing with Section 1250), or Chapter 3
(commencing with Section 1500).
(c) Disclosure of any revocation or other disciplinary action
taken, or in the process of being taken, against a license held or
previously held by the entities specified in subdivision (b).
(d) Any other information as may be required by the department for
the proper administration and enforcement of this chapter.
(e) A signed statement that the person desiring issuance of a
license has read this chapter and the regulations adopted pursuant to
this chapter and understands the statute and regulations applicable
to a residential care facility.