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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. CHECKLIST for Personal Care Homes. This form is solely for your use in helping you determine if you meet the rules. DO NOT RETURN IT. If there are rules you do not meet, you are to start taking action to meet the rules.

business license. There may be fees associated with various reviews, inspections, permits, or licenses. ... provided to two or more adults not related to the owner or administrator by blood or marriage. 2. What are personal services? ... Registered Agent for Service (for Corporation) 7. Attach a list of names, addresses, and telephone numbers ...

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