Conn. Agencies Regs. § 10-8a-3 - Application for non-exempt facilities
(a) No residental
facility shall begin or continue operation as an institution exempt from the
requirements of Sections 17-48 and 17-51 of the General Statutes until a
Certificate of Exemption or a Certificate of Conditional Exemption is obtained
from the State Board of Education. Application for a Certificate of Exemption
by a facility in operation on or prior to the effective date of these
regulations shall be made not more than sixty days following the effective date
of these regulations. Application for a Certificate of Exemption by a facility
not in operation on or prior to the effective date of these regulations shall
be made not less than one hundred and fifty days prior to the date on which the
facility is to commence operation. Application shall be made on such forms as
the Commissioner shall prescribe.
(b) Application for a Certificate of
Exemption is to include but not be limited to the following information:
(1) the name and mailing address of the
facility;
(2) a list of addresses
for each building or site on which the facility is or shall be
located;
(3) a description of the
facility's administration including:
(A) the
names and addresses of all members of the Board of Directors or other governing
body;
(B) a table or organization
of the facility's internal operation;
(C) a list of each administrator by name,
role, educational background and training;
(4) a description of the facility's financial
management including:
(A) the names and
addresses of all owners and officers of the facility and of the property on
which any part of the facility is located;
(B) a copy of the applicant's current
certificate of incorporation;
(C) a
description of the facility's budgetary and accounting process;
(D) a list of the amount and types of federal
and/or state aid received or anticipated;
(E) a description of all insurance plans in
effect or planned for the facility;
(F) a copy of an audit from the preceeding
year conducted by a certified public accountant for each facility in operation
for at least one year;
(5) copies of all current certificates of
local and/or state health, safety, sanitation, fire, zoning and building code
approvals;
(6) a description of
dormitory facilities including:
(A) the number
of students per room and the age range of students per room;
(B) the program of supervision and
security;
(7) a copy of
contingency plans for the emergency placement of students including but not
limited to the return of students to their families upon the summary suspension
of a Certificate of Exemption or a Certificate of Conditional
Exemption;
(8) a statement
describing any pending legal action which in any way is related to the facility
or its property;
(9) the following
disclosure information shall be provided when applicable:
(A) if any member of a facility's Board of
Directors or other governing body is an employee of a town or regional board of
education or a state agency which places handicapped children, list the name of
each such individual, his/her role on the Board of Directors, and his/her
affiliation in any of the above-named agencies;
(B) if an employee of a town or regional
board of education or a state agency which places handicapped children has a
financial interest or any other interest in the ownership or management of the
facility, list the name of each such individual, his/her school district,
his/her role in the ownership or management of the facility, and his/her
affiliation in any of the above-named agencies;
(C) if a facility has enrolled any student(s)
from the local, regional or state agency in which the individual(s) named above
is employed, state the number of such students enrolled and the name of the
district which placed each student;
(10) a description of all instructional
services, support or related services, and extra-curricular
activities;
(11) a list of names,
titles, educational background and training of persons assigned or expected to
be assigned to the educational program;
(12) a description of the student body
including:
(A) the number of students enrolled
in the educational program and the number of students enrolled in the
residential program or the anticipated numbers of such students;
(B) the student age range for
admission.
(C) The Commissioner
shall review all applications and may require of the applicant additional
information as necessary.
(d) Notice of any substantial change with
regard to any information submitted in the application for a Certificate of
Exemption shall be forwarded promptly to the Commissioner.
Notes
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