Surveyors will ask to see the administrative binder for the home on arrival. Tab this binder and keep it at the home, not only at corporate headquarters.
Item / Evidence to Produce
AuthorityStatus
Delaware Certificate of Formation / Good Standing for the provider entity (current year)
16 Del.C. Ch. 11
IRS EIN letter (CP-575 or 147-C) matching the applicant entity name
DDDS App. Manual
Delaware Business License (current) issued by Division of Revenue
Title 30 Del.C.
DDDS Provider Authorization letter for Residential Habilitation – Neighborhood Home
DDDS Provider Stds §1.1
DMAP (Delaware Medical Assistance Program) Medicaid provider ID / enrollment confirmation
DMAP Provider Manual
DHCQ Application for Neighborhood Home License — date-stamped as received
16 DAC 3310-3.0
Floor plan of the home with room-by-room labeling and occupant assignments
16 DAC 3310-3.0
Lease or deed for the property, compliant with 25 Del.C. Ch. 53 (Landlord-Tenant Code)
DDDS Prov Stds §1.1
Certificate of Occupancy (CO) from the local jurisdiction
Local code
Proof of real property tax status / zoning permission for a residential use of this type
Local zoning
General & professional liability insurance — certificate naming DDDS as additional interested party where required (minimum limits per DDDS)
DDDS Prov Stds
Workers' compensation insurance certificate
19 Del.C. Ch. 23
Commercial auto / non-owned auto coverage if residents are transported
16 DAC 3310-12.0
Table of organization showing Administrator, QIDP/Program Coordinator, House Manager, DSPs, Nurse Consultant
DDDS Prov Stds §1.3
Written Plan of Operation for the home, signed and dated by Administrator
16 DAC 3310-3.0
Administrator's résumé, qualifications and DDDS approval on file
DDDS Prov Stds §1.3
Written notification procedure to DHCQ & DDDS for change of ownership / Administrator / location
16 DAC 3310-3.8
1. Purpose & Regulatory Framework
This readiness checklist helps a prospective Residential Habilitation provider agency operating a Neighborhood Home under the Delaware DDDS Lifespan Waiver prepare for the onsite survey prior to issuance of the Neighborhood Home license and DDDS authorization to open.
Primary authorities referenced:
16 Del.C. Chapter 11, Subchapter I — Licensing by the State
16 Del.C. § 3310 — statutory definition of Neighborhood Home
16 Del. Admin. Code 3310 — Neighborhood Homes for Individuals with I/DD
DDDS Provider Standards for HCBS, Section 1.0 — Residential Habilitation: Neighborhood Homes
DDDS Lifespan HCBS Waiver Provider Specific Policy Manual
DDDS Policy Memorandum #62 — Neighborhood Home operations
DDDS Policy Memorandum #36 — Standardized Requirements During Development Phase
DHCQ Background Check Center (BCC) — Disqualifying Crimes Conviction/Time Parameters
42 CFR 441.301(c)(4) — CMS HCBS Settings Rule
Delaware Landlord-Tenant Code, 25 Del.C. Ch. 53
Delaware State Fire Prevention Regulations (Office of the State Fire Marshal)