Residential Care Home Licensure

The Health Facility Systems staff receives and processes applications for licenses, renewals, and amendments. 

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Note: Files on this page have been converted to .PDF. You will need the Adobe™ Acrobat ™ Reader to view them.  A short-cut is provided on the left in the blue column. 

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Law        

**Amendment Effective November 1, 2008**  The amendment adds § 1-849. Long Term Care Facility for Level II and III Sex Offenders. This section provides that the OSDH initiate a request for the proposal for operation of a stand-alone long-term care facility for sex offenders.

    Residential Care Act, Title 63 O.S. §§ 1-820 et seq. (184K)  


Unofficial Rules

    Residential Care Homes, OAC 310:680 (410K)

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License Application and attachments.

NOTE: The attachments are required to complete the License Application.

    License Application for Residential Care Home, ODH Form 728 (122K)

•   Disclosure Statement of Owners, Lessee and Manager for a Long-Term Care Facility, ODH Form 953-B (91K) 
  
•   Detail Attachment To the Disclosure Statement, ODH Form 953-C ( 84K)
  
•   Staffing Projection And Professional Certification For A Nursing Or Long-term Care Facility, ODH Form 953-E (84K)  

Residential Care Home Renewal Application Checklist (38K)

Application for Qualified Temporary Manager 

    Qualified Temporary Manager Application, ODH Form 661 

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For more information on residential homes that are certified for individuals with mental illness, please contact the Oklahoma Department of Mental Health and Substance Abuse Services. 

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Legal Resident Affidavit Forms

The applicable form below is required for an applicant applying for a license as an individual.

    Affidavit of Lawful Presence by Person Making Application for a License, Permit or Certification, ODH Form 301 (29K)

    Affidavit of Lawful Presence by Person Making Application for a License, Permit or Certification, Spanish Version, ODH Form 301A (31K) 

    Affidavit of Lawful Presence by Guardian of Person Making Application for a License, Permit or Certification, ODH Form 266 (32K)

    Affidavit of Lawful Presence by by Guardian of Person Making Application for a License, Permit or Certification, Spanish Version, ODH Form 266A (33K) 

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Contact Information
Health Facility Systems
1000 N.E. 10th Street, Room 1010
Oklahoma City, OK 73117-1299
Phone: (405) 271-6868
Fax: (405) 271-7360
E-mail: Click here to email