Section 404.4 Application for License

Section 404

Section 404.4  Application

for License

a)         Application for license shall be completed by the officers of

the governing body of the institution on forms prescribed and furnished by the

Department.

b)         For the application to be considered complete, the following

shall be attached to the application:

1)         articles of incorporation and bylaws, indicating that the

institution's corporate status is in good standing with the Illinois Secretary

of State and specifying whether the institution is for profit or

not-for-profit;

2)         if a

not-for-profit corporation under Section 501 of the Internal Revenue Code (26

USCA 501), a copy of the Internal Revenue Service ruling on the institution's

exemption status from Federal income tax and registration with the Charitable

Trust Bureau of the Attorney General's Office (if applicable);

3)         a statement of purpose, including the types of child care

provided;

4)

list of owners, officers, board

members, and principal shareholders owning more than 5% of the stock of the

corporation and each person's attestation that he or she has not been convicted

of a felony or indicated as a perpetrator of child abuse or child neglect, as

defined in Appendix B of 89 Ill. Adm. Code 300 (Reports of Child Abuse and

Neglect).  This includes any or all of the above persons who reside outside the

State of Illinois.  The board list shall include the name, home address or Post

Office Box and contact phone number other than the agency's telephone number,

of the board chair and officers of the board and name of the

board

members and committees of the governing body;

5)         list of standing committees;

6)         documentation of compliance with local zoning

regulations;

7)         operating budget;

8)         range of services;

9)         staffing plan which includes job descriptions and the

qualifications of staff;

10)       a list of persons subject to the background check requirements

of 89 Ill. Adm

ard

members and committees of the governing body;

5)         list of standing committees;

6)         documentation of compliance with local zoning

regulations;

7)         operating budget;

8)         range of services;

9)         staffing plan which includes job descriptions and the

qualifications of staff;

10)       a list of persons subject to the background check requirements

of 89 Ill. Adm. Code 385 (Background Checks) and each person's complete, signed

authorization to conduct the background check; and

11)       a code of ethics adopted by the governing body.  This

code of ethics must be at least as stringent as the Code of Ethics for Child

Welfare Professionals (published by the Office of Communications, Department of

Children and Family Services, 406 E. Monroe Street, Station #65, Springfield,

Illinois 62701, May 1996, or found on the Department's website at www.state.il.us/dcfs.

c)         A new application shall be filed:

1)         when an application for license has been withdrawn, and the institution

seeks to reapply;

2)         there is a change of address of a facility;

3)         there is a change of ownership, name or corporate status; or

4)         not sooner than 12 months after the Department has revoked or

refused to renew a license, and a new license is sought.

d)         A new application may be submitted at any time a license,

permit or application has been voluntarily surrendered or withdrawn by the

applicant.