Wis. Admin. Code DHS § DHS 83.05

Current through October 28, 2024
Section DHS 83.05 - Application requirements
(1) No person may conduct, maintain, operate or permit to be maintained or operated a CBRF unless the CBRF is licensed by the department. A person who assumes ownership interest in a CBRF, regardless of whether the transfer includes title to the real estate, or changes the location of the CBRF shall complete an application as required under sub. (2).
(2) An application for initial licensure shall be on a form provided by the department and shall be accompanied by all of the following:
(a) A program statement as specified under s. DHS 83.06(1).
(b) A floor plan specifying dimensions of the CBRF, exits and planned room usage.
(c) A fire inspection form.
(d) All required fees.
(e) A balance sheet.
(f) Evidence that the applicant has 60 days of projected operating funds in reserve.
(g) Any additional information requested by the department.

Note: A copy of the application form, F60287, can be obtained at http://dhs.wisconsin.gov/forms/DQAnum.asp [File Link Not Available] or by contacting the Division of Quality Assurance Regional Office listed in Appendix A.

(3) The applicant shall provide evidence to the department that the license applicant has made a good faith effort to establish a community advisory committee under s. 50.03(4) (g), Stats.
(4) A CBRF may not be located on a parcel of land zoned for commercial, industrial or manufacturing use.

Wis. Admin. Code Department of Health Services DHS 83.05

CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09..