Mississippi Administrative Code › Title 18 - HUMAN SERVICES › Part 7 - Division of Family & Children Services Licensing Requirements › Chapter 1 - Licensing Requirements Manual for Residential Child Caring and Child Placing Agencies › Section 18-7-1-I - LICENSING PROCESS

Current through June 25, 2024
A.
The Application for a License:
An application for a license shall be made on forms provided
				  by the Mississippi Department of Human Services, Division of Family and
				  Children's Services (hereafter known as "the Department"). All inquiries should
				  be made to the:
Attention: Licensure Unit
Mississippi State Department of Human Services
Division of Family and Children's Services
Post Office Box 352
Jackson, MS 39205-0352
(MS Code §
										43-15-5(2)
				  and §
										43-15-105
				  Licensing Authority See Appendix)
The applicant will be furnished with an application form and
				  a copy of the Licensing Standards for Child Placing Agencies and Residential
				  Child Caring Agencies (hereafter known as "the agency").
The following minimum material shall accompany the first
				  application for a license:
1. A copy
				of the Articles of Incorporation and a copy of the Constitution and/or By-laws.
				Any agency or residential child care facility incorporated outside of the State
				of Mississippi shall secure authorization from the Secretary of State to do
				business in Mississippi.
2. A
				completed application form and a letter from the applicant's Board of Directors
				authorizing the applicant to sign the application
3. For-profit agencies must provide
				information on corporate structure, ownership and proprietary
				interest.
4. A copy of the zoning
				verification notice signed by the zoning administrator
5. A list of the names, addresses,
				occupations and term expiration of Board Members; and specify the officers of
				the Board of Directors
6. A
				statement of purpose which includes a description of the geographic area to be
				served, the types of children to be accepted for placement or care, the
				services to be provided and the program objectives
7. Verification of six (6) months capital
				revenue, which shall not include state funds
8. A copy of the current budget which shows
				both expected expenses and sources of income
9. A copy of policies regarding fees and
				charges for services
10. A copy of
				the staff organizational table including names of all employees currently
				holding those positions
11. A
				general description of each type of staff position proposed for the agency
				including qualification requirements
12. A copy of all policy, including but not
				limited to, the personnel policies and admission policies
13. A copy of the staff development and
				training plan that must comply with the Department's training requirements (See
				Section III. Personnel : Staff Development and In-Service Training)
14. Certification of occupancy requirements,
				elevator inspections, occupational safety and health administration codes and
				all other applicable safety codes
15. A copy of the plan for providing care and
				services
16. Copies of all forms
				used by the agency such as application and placement agreement
17. Certificate of compliance with the civil
				rights laws
18. Most recent audit
				and IRS Form 990
19. A diagram of
				all structures of the facility showing square footage and designated use of
				each room and location(s) on campus/grounds of each structure, building codes,
				and evidence of compliance with applicable codes
20. A copy of the required fire, health and
				sanitation (any hazardous condition) inspections completed within the last
				three months
21. Current emergency
				policies and procedures for all natural or man-made disasters affecting the
				facility
22. A copy of current
				insurance policy coverage including, but not limited to, auto insurance for
				staff and volunteers who transport children, comprehensive general liability,
				and owner property insurance on the facility.