Dear PCH Applicant: INITIAL APPLICATION PACKAGE

2 Peachtree Street, NW. Atlanta, GA 30303-3159. clyde L. reese , III, Esq., Commissioner Sonny Perdue, Governor Dear PCH Applicant: Enclosed is your INITIAL APPLICATION PACKAGE for a permit to operate a Personal Care Home. All enclosed forms except the RULES CHECKLIST must be completed and returned to the Healthcare Facility Regulation Division (HFR) of the georgia Department of Community Health (DCH). The following steps should be followed. 1. Read the Rules and Regulations for Personal Care Homes, Chapter 290-5-35. Make sure you fully understand all the rules you are responsible for meeting as a licensed personal care home provider. Rules can be downloaded from the HFR. website at 2. Read carefully and answer all questions on the enclosed copy of the RULES.

Clyde L. Reese, III, Esq., Commissioner 2 Peachtree Street, NW Atlanta, GA 30303-3159 Sonny Perdue, Governor www.dch.georgia.gov . Equal Opportunity Employer 6. Return the application, inspections and other materials required in your application package to the following address:

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