Section 22-B3602. APPLICATIONS

 

3602.1Applications for Community Residence Facility loans shall be addressed to the Long Term Care Administration, Department of Human Services (DHS), 1875 Connecticut Avenue, Northwest, Washington, D.C. 20009. Complete applications shall consist of the following elements:

 

(a)A letter or completed DHS application form signed by the facility operator which contains the following information:

 

(1)The amount of the loan requested;

 

(2)The specific proposed purpose of the loan;

 

(3)The address and telephone number of the facility;

 

(4)The number of clients residing in the facility at the time of application;

 

(5)The number of proposed clients;

 

(6)The number of existing and proposed clients who will be recipients of public assistance, SSI payments or who are otherwise classified as low-income persons;

 

(7)The number of other persons who reside in the facility and their identification and relationship to the operator;

 

(8)The previous history of the facility (whether it was operated as a personal care home, rooming and boarding house, or other type of facility in the past); and

 

(9)The history of the operator's contacts with the CRF life-safety code inspectors who identified the need for the item or items for which the loan will be used;

 

(b)A statement of the operator's and the facility's financial status, listing all sources and amounts of current resources, income and expenses and listing the source and amount of anticipated future resources, income and expenses to cover the anticipated term of the loan;

 

(c)Two (2) or more written estimates from local contractors for the work to be performed; these statements may be prepared by the applicant but shall include the contractors' names, addresses, telephone numbers and permits if any (the estimated cost of the work to be performed shall be verified during the evaluation of the loan application);

 

(d)Proof of ownership of the premises (such as a copy of the property mortgage), a recent real estate tax assessment or a property title); in the event that the operator of the facility does not own the premises, he or she shall hold a long-term lease (five (5) or more years beyond date of application) with the owner and shall submit a copy of the lease; and

 

(e)A statement of the source of income which shall be used to repay the loan and a proposed repayment schedule.

 

source

Final Rulemaking Published at 27 DCR 2932 (July 4, 1980), incorporating text of Proposed Rulemaking published at 27 DCR 2076 (May 16, 1980).