"Pre-application Checklist" - Pennsylvania

Pre-application Checklist is a legal document that was released by the Pennsylvania Department of Aging - a government authority operating within Pennsylvania.

Form Details:

  • Released on July 25, 2011;
  • The latest edition currently provided by the Pennsylvania Department of Aging;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Aging.

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Commonwealth of Pennsylvania
Department of Aging
Pre-Application Checklist
This checklist provides the minimum areas to consider prior to submitting an Older Adult Daily Living
Center (OADLC) application. Advance planning will help to ensure a successful OADLC.
1. Research OADLC Information
Have you studied the Title 6, Chapter 11 regulations?
Have you visited existing OADLCs to observe the program in action?
Have you visited the websites of the National Adult Day Services Association
www.nadsa.org
and the Pennsylvania Adult Day Services Association www.padsa.org?
Do you plan to be accredited by the Commission on Accreditation Rehabilitation Facilities?
www.carf.org
(Optional)
2. Assess Your Community’s Need
Are there existing OADLCs in your community? If so, would their location create competition
for your OADLC?
Have you spoken with or interviewed local agencies? (i.e. Alzheimer’s Association,
Area Agencies on Aging, Discharge Planners, etc)
3. Target Population
What population(s) is the center planning to serve? (i.e. individuals with a dementia related
disease such as Alzheimer’s, individuals with physical disabilities, individuals with developmental
disabilities, etc)
Have you studied the demographics of the target population?
4. General Business Plan
What is the center’s philosophy?
What services would the center offer? (i.e. bathing, medication administration, physical therapy,
occupational therapy, counseling, etc)
Have you completed a market analysis?
Does the center have a marketing plan?
What is the proposed start date?
What are the planned days and hours of operation?
July 25, 2011
Commonwealth of Pennsylvania
Department of Aging
Pre-Application Checklist
This checklist provides the minimum areas to consider prior to submitting an Older Adult Daily Living
Center (OADLC) application. Advance planning will help to ensure a successful OADLC.
1. Research OADLC Information
Have you studied the Title 6, Chapter 11 regulations?
Have you visited existing OADLCs to observe the program in action?
Have you visited the websites of the National Adult Day Services Association
www.nadsa.org
and the Pennsylvania Adult Day Services Association www.padsa.org?
Do you plan to be accredited by the Commission on Accreditation Rehabilitation Facilities?
www.carf.org
(Optional)
2. Assess Your Community’s Need
Are there existing OADLCs in your community? If so, would their location create competition
for your OADLC?
Have you spoken with or interviewed local agencies? (i.e. Alzheimer’s Association,
Area Agencies on Aging, Discharge Planners, etc)
3. Target Population
What population(s) is the center planning to serve? (i.e. individuals with a dementia related
disease such as Alzheimer’s, individuals with physical disabilities, individuals with developmental
disabilities, etc)
Have you studied the demographics of the target population?
4. General Business Plan
What is the center’s philosophy?
What services would the center offer? (i.e. bathing, medication administration, physical therapy,
occupational therapy, counseling, etc)
Have you completed a market analysis?
Does the center have a marketing plan?
What is the proposed start date?
What are the planned days and hours of operation?
July 25, 2011
5. Financial Business Plan
How will you fund the setup of your business? (i.e. grants, donations, private, etc)
Have you determined the amount of money necessary to start your business?
Is there a viable funding source for your target population? (i.e. Home & Community Based
Waivers, Medicaid, Veteran’s Administration, private, etc)
What is your expected tax status? Will your business be for-profit or not-for-profit?
Have you researched the cost of obtaining personal and professional liability coverage?
6. Site Selection
Does your building have a Certificate of Occupancy that indicates a use group code of I-4?
Is your building ADA compliant?
Is your center co-located in a building housing another service? If so, does the center
have its own separate identifiable space during the hours of operation?
What are your geographic service boundaries?
How will clients be transported to and from the center?
July 25, 2011
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