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Residential Licensing Forms
Application for License (CCL 25R) |
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Corrective Action Plan (CAP)
Effective December 4, 2023, the electronic corrective action plan (CAP) process was implemented for all inspections completed 12/04/2023 moving forward. Your CAP and any supported related documents shall be submitted utilizing the Sanswrite licensee portal. Questions related to registering for a Sanswrite account or portal related issues should be directed to Outlier Technologies staff @ 1-800-984-9346, option 2.
Below is the video of the training which was held on November 15, 2023 which demonstrates the Sanswrite licensee portal.
Attestation
Change of Information
- Change of Ownership Structure
- Child Placing Agencies - Foster and/or Adoptive Care Programs (CPA FC/AD)
- Child Placing Agency - Transitional Placing Program Providers (CPA TP)
- Maternity Home Providers (MH)
- Residential Home Providers (RH)
Licensing Deficiency
Requirements & Handouts
- Fingerprint-Based Criminal Background Check (CBC) Requirements
- Child Placing Agencies - Foster Care & Adoption
- Child Placing Agencies - Transitional Placing
- Maternity Home Providers
- Residential Type I Providers
- Residential Type IV Providers
- State Central Registry (SCR) Requirements