OAR 309-060-0125
Application for Initial Registration and Renewal Registration

(1) Application for a Letter of Registration, including renewal registration, shall be submitted by the applicant in writing on the forms furnished by the Division that are legible and complete and in the manner specified by the Division. Applications shall include:
(a) A description of the facility in or upon which the applicant proposes to operate a CBSH;
(b) Signed attestation by the applicant that all applicable rules for the provision of a CBSH facility shall be met and maintained in compliance with applicable rules and any variances granted by the Division;
(c) Other documentation required by applicable OAR, ORS, local regulations, contract, or request of the Division to assess compliance of the applicant’s proposed services with administrative rules;
(d) The maximum number of residents who shall reside at the CBSH;
(e) The number of bedrooms, apartment units, or single room occupancy units;
(f) The name, address, telephone number, and email address of the applicant;
(g) The names, addresses, telephone numbers, and email address of any partner, corporate officer, entities, or other persons having an ownership interest in the CBSH and the percent ownership corresponding to each;
(h) The name, address, telephone number, and email address of the facility manager, if applicable;
(i) The qualifications and documentation of training requirements for the applicant, facility manager if not the applicant, and each program staff;
(j) A description of each service the provider shall offer to residents;
(k) A copy of the applicant’s current rental agreement; and
(L) Copies of all approved criminal history checks for all persons involved in the operation of the CBSH who have contact with the residents, as required in OAR 407-007-0200 (Purpose and Scope) through 407-007-0370 (Variances).
(2) The registration fee shall be $20 per year, per CBSH, paid via check or money order to Health Systems Division and shall accompany the application.
(3) The application is not complete until all required forms, information, and application fees are received by the Division.
(4) If the Division receives a complete application for renewal 90 calendar days prior to the expiration date listed on the Letter of Registration, the Letter of Registration may not be deemed to have expired until the Division completes its review of the renewal application and either issues a new Letter of Registration or denies the application.
(5) If the Division does not receive a complete application for renewal prior to the expiration listed on the Letter of Registration, the Letter of Registration shall expire on the date listed on the Letter of Registration, and the CBSH shall be considered un-registered.
(6) Applicants who fail to submit a complete application shall be notified by the Division. The notification shall identify the components required to complete the application. The Division’s notification may also identify the due date by which a completed application shall be received by the Division.

Source: Rule 309-060-0125 — Application for Initial Registration and Renewal Registration, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-060-0125.

Last Updated

Jun. 8, 2021

Rule 309-060-0125’s source at or​.us