Residential Treatment Centers for Children and Adolescents
Residential Treatment Centers for Children and Adolescents (RTC) are 24 hour
residential programs, including therapeutic group homes, under contract with
the Department of Children and Families(DCF) or the Agency for Health Care
Administration(AHCA). These centers were designed to provide mental health
treatment and services to children under the age of 18 who have been diagnosed
as having mental, emotional, or behavioral disorders.
Treatment Centers must meet licensing requirements by submission of a completed and
notarized application, required documentation, and completion of a satisfactory survey. The
biennial license fee is $230.00/bed.
NOTE: Treatment Centers that are classified as Therapeutic Group Homes are limited to a
maximum capacity of 12 beds.
Financial penalties may be imposed for failure to file a timely application or license fee.
Initial, Change of Licensed Operator and Renewal Requirements
To renew a current state license that is due to expire, you must print the licensure application
form below and submit the completed form(s) with the renewal fee prior to the expiration date of
the license. Renewal applications must be received by the Agency at least 60 days prior to
expiration of a license or a late fee will be assessed.
Initial applications due to a change of licensed operator must submit a complete application
package 60 days prior to the date of the anticipated change of licensed operator.
- Completed, signed and notarized License Application
Form.
- NOTE: A renewal application will not be accepted if the residential treatment center
license is expired. An initial license application must be filed if your license has expired.
- Health Care Licensing
Application
, Addendum
, Voluntary Board Member
Affidavit, and
Affidavit of Compliance with Background Screening Requirements.
- These forms are recommended for use beginning October 1, 2006, to comply with the reporting requirements pursuant to Chapter 408, Part II, Florida Statutes. Please provide this information in addition to the licensing application for the specific provider/facility type.
- Employment identification number or taxpayer identification number of each person or
entity controlling five percent or more interest in the corporation.
- Current balance sheet for owner(s) verifying financial information for the
facility.
- Statement of operations projecting first six months income, expenses, taxes,
credits, etc. (Not required for renewal applications).
- Proof of liability insurance coverage (minimum coverage is $300,000 per
occurrence/$1,000,000 annual aggregate).
- Background screening affidavit assuring required facility staff will be screened
(section 394.4572, F.S.).
- AIDS/HIV affidavit assuring required facility staff will be trained (section 381.0035, F.S.).
- Satisfactory fire safety inspection report completed in the last 365 days.
- Satisfactory Department of Health sanitation inspection report completed
in the last 365 days.
- Proof of right to occupy the premises (warranty deed, lease agreement, quit claim
deed, or similar document confirming the applicant's right to operate at the street
address shown on the application).
- Proof that the corporation is active with the Florida Department of State, Division of
Corporations (current certification of status or copy of the corporation's completed
annual repot form & a copy of both sides of the cancelled check submitted for
payment of the corporation's renewal fee).
- Copy of current signed contract with the department (DCF).
- For all RTCs (except Community Residential Homes), a report or letter from the
zoning authority dated within the last 6 months indicating the street location is zoned
appropriately for its use.
- Facilities that would be considered a Community Residential Home under Chapter
419, F.S. shall provide a completed Community Residential Home Affidavit of Compliance form.
- Copy of the center's occupational license.
- If accredited, a copy of the JCAHO, CARF, COA, or NCQA accreditation letter,
survey report, & any follow up reports to or from the accrediting organization.
- NOTE: For renewals, provide copies of any correspondence to or from the
accrediting organization that have not been submitted previously to the Agency
since the current accreditation was awarded. A copy of the accreditation award
letter, accreditation certificate, and accreditation report (survey report) must be
submitted only if a new accreditation periood has been awarded since the initial
application or last renewal application was filed with the Agency.
- Check for the application fee ($230 per bed), may be combined with the screening
fee (below).
- If the Agency will be completing the required background screening, include a check
for $42.25 per person.
Capacity Change Requirements (if applying for such changes other than with
license renewal)
Background Screening
- Florida Department of Law Enforcement and FBI fingerprint screening must be
completed by the managing employee (usually the chief executive officer) and the
chief financial officer and then repeated every five years unless there is a new
hire. Please go to the background screening section
of this web site for additional documentation that must be submitted with your
application.
Applications/Forms
Statute/Rule Authority
Updated March 18, 2008
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