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Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

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Statewide Initiatives



211 - Get Connected. Get Answers.

Adult Residential Care Provider Initial Licensure

The Department of Health and Hospitals (DHH) shall not process any application until all completed forms, required applicable accompanying information and the application fee (where required) is received.

 The application process will be terminated for applicants who have not completed the submission of all the required forms and supplemental information within ninety (90) days of notification of the request for the missing information.  Applicants who are still interested in applying must begin the initial process with the submission of a new application packet with new initial licensing fee.

 All applicable fees must be submitted by way of Company Check, Cashier’s Check or Money Order payable to DHH.  Application fees are non-refundable.

 When all of the required forms, fees, and information have been received, the applicant will be notified of approval of the packet.  Once approval has been received, the ARCP applicant shall notify DHH of the readiness for an initial survey within 90 days.  Failure to notify DHH of readiness for an initial licensing survey within 90 days will result in the application being closed.  Once the application is closed, if still interested, the ARCP provider must restart the application process.

 

Information to be included in the completed Initial Licensing Packet:
  1. Application fee of $600.00
  2. Facility Unit fee - $5 for every unit
  3. Letter of Intent (include the level you plan to license; facility name; facility address and if new construction, the construction completion date)
  4. A copy of criminal background checks from Louisiana State Police for all owners of the facility.
  5. Proof of financial viability of:
    1.  Verification of assets equal to $100,000 or cost of 3 months operation, whichever is less;
      or
    2.  Letter of credit equal to $100,000, or the cost of 3 months operation, whichever is less
  6. Proof of professional liability insurance of at least $300,000
  7. Proof of general liability insurance of at least $300,000
  8. Proof of worker’s compensation insurance (Level 4 ARCP)
  9. CLIA (Lab Memo & Application Packet) (Level 4 ARCP)
  10. Approval of Architectural Plans from the:
    Office of the State Fire Marshal
    Attention:  Plan Review Administrator
    8181 Independence Blvd.
    Baton Rouge, LA  70806

    225-925-4920 (phone) 225-925-4414(fax) 
    http://sfm.dps.louisiana.gov/index.htm (website)

    Please be reminded that it is the responsibility of the provider to send copies of any and all letters and approved floor sketches received from the State Fire Marshal to the ARCP program desk.

  11.  Approval for Occupancy Reports
     Department of Health & Hospitals
    Office of Public Health – Submit the approval for occupancy survey report.  To request an inspection for approval of occupancy – Phone 225-342-7523
  12. Office of the State Fire Marshal – submit approval for occupancy report
    8181 Independence Blvd.
    Baton Rouge, LA  70806
    (225) 925-4270)

    To request an inspection for approval for occupancy notify the District Fire Marshal Office in your area:
    Baton Rouge District Office – 225-925-4914
    Lafayette District Office – 337-886-1273
    New Orleans District Office – 504-219-4600
    Shreveport District Office – 318-676-7145
    Monroe District Office – 318-362-4696 

  13. 8x11 floor sketch or drawing of the premises
  14. Copy of Facility Need Review approval if applying for Level 4 ARCP
  15. Copy of the Articles of Incorporation
  16. Other Licenses – approval from any pertinent local agencies as required in your areas. (Zoning, occupation license, local fire ordinance, etc.)

     

  17. IMPORTANT:

    1. Payments & Payment Transmittal form must be submitted to Chase Bank
    P.O. Box Below:

    DHH Licensing Fee
    P.O. Box 62949
    New Orleans, LA 70162-2949

    2. Documentation, such as the application form, Disclosure of Ownership, OPH reports must be sent to Health Standards Section at:

    Health Standards Section
    P.O. Box 3767
    Baton Rouge, LA 70821-3767