10a NCAC 26c .0102      Request for designation

(a)  A request for designation shall be made to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS).

(b)  Each request shall include the following:

(1)           name and address of applicant;

(2)           type of facility to be designated and type of service for which designation is requested;

(3)           staffing levels of the facility;

(4)           location of the facility;

(5)           name of the administrator;

(6)           status of license; and

(7)           name and principal business address of holder of license.

History Note:        Authority G.S. 122C‑252;

Temporary Rule Eff. January 1, 1986, for a Period of 32 Days to Expire on February 1, 1986;

Eff. February 1, 1986;

Amended Eff. March 1, 2009;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 1, 2018.