1(1) 2Applicants for a license under this chapter must apply to the department on forms provided by the department and in accordance with rules adopted by the department. Applications must include at a minimum:35(a) 36Information establishing the name and address of the applicant service provider and its director, and also of each member, owner, officer, and shareholder, if any.
61(b) 62Information establishing the competency and ability of the applicant service provider and its director to carry out the requirements of this chapter.
84(c) 85Proof satisfactory to the department of the applicant service provider’s financial ability and organizational capability to operate in accordance with this chapter.
107(d) 108Proof of liability insurance coverage in amounts set by the department by rule.
121(e) 122Sufficient information to conduct background screening for all owners, directors, chief financial officers, and clinical supervisors as provided in s. 142397.4073143. 144(f) 145Proof of satisfactory fire, safety, and health inspections, and compliance with local zoning ordinances. Service providers operating under a regular annual license shall have 18 months from the expiration date of their regular license within which to meet local zoning requirements. Applicants for a new license must demonstrate proof of compliance with zoning requirements prior to the department issuing a probationary license.
207(g) 208A comprehensive outline of the proposed services, including sufficient detail to evaluate compliance with clinical and treatment best practices, for:2281. 229Any new applicant; or
2332. 234Any licensed service provider adding a new licensable service component.
244(h) 245Proof of the ability to provide services in accordance with department rules.
257(i) 258Any other information that the department finds necessary to determine the applicant’s ability to carry out its duties under this chapter and applicable rules.
