Human Service Center Responsibilities 660-05-25-15

(Revised 6/16/08 ML 3147)

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The Human Service Center must review for accuracy and completeness, all information submitted by the County Social Service Agency to determine whether the application for an AFFC license should be approved, denied, or if a provisional license should be issued. In making the determination, the Human Service Center may make an on-site inspection, interview the applicant, and request additional information and verifications (Section 05-20-15-05).

For initial licensing:

1. Within 60 calendar days of receipt of application materials, issue SFN 1020, “License to Provide Adult Family Foster Care." An initial license is effective for no more than 12 months (if considering less than full 12-month period, contact the Program Administrator at the Division). Send copy of license to the Division and the county social service agency.
2. If a license is not recommended, issue SFN 741, “Denial Notice and Notification of Rights.” Contact the Program Administrator at the Division prior to issuing a denial notice. Upon request, assist the applicant in the completion of SFN 747, “Appeal Form.”
3. Notify the applicant if an additional 45 days are needed in order to determine whether a license will be granted or denied.

For providers holding a current license:

1. Once the Division has provided notification of the license expiration date and all of the renewal documentation has been received from the County Social Service Agency, issue a new license (SFN 1020) to the provider for no more than 24 months. Send copy of license to the Division and the county social service agency.
2. If a provisional license is required, consult with the Program Administrator at the Division.  The Human Service Center will issue the license (SFN 1020) to the provider (Section 05-20-25). Send copy of license to the Division and the county social service agency.
3. If a denial of license is warranted, consult with both the County Social Service Agency and the Program Administrator at the Division. The Human Service Center will issue a SFN 741, “Denial Notice and Notification of Rights." Upon request, assist the provider in the completion of SFN 747, “Appeal Form.” Send a copy of the forms to the Division and the county social service agency.
4. Report immediately to the Division any changes in provider status that affects the provider's ability to provide service.
5. Receive requests from the County Social Service agency for an increase or decrease in the number of individuals listed on the license. If an increase has been requested, consult with the county social service agency to insure the standards have been met. Issue a new license that reflects the changes to the individual, county social service agency and the Division.
6. Receive complaints and assist in investigations, as per Human Service Center guidelines (Section 05-35). Notify the Program Administrator at the Division of all complaints, findings, and resolution.
7. Review all complaints and investigation findings.  Consult with the County Social Service Agency and the Program Administrator. If warranted, issue a correction order (Section 05-40). The Program Administrator at the Division must review the correction order prior to being sent to the provider. A copy of the Correction Order must be sent to the Division.
8. If revocation of a license is warranted, consult with the County Social Service Agency and the Program Administration at the Division. The Human Service Center will issue a SFN 1212, “Revocation Notice” (Section 05-45) to the provider. Upon request, assist the provider in the completion of SFN 747, “Appeal Form.”  Send copies of the forms to the Division and the county social service agency.