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Residential Care Home Licensure


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


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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)


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 


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


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) 


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

 

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