Change of Status

DDA Licensure Change of Status Form: a form is required and used to report or request a change in the status of a previously submitted initial application or the conditions of a current license.

  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • New Life Safety Inspection may be required. Your DDA Licensure surveyor will submit a Life Safety Inspection request to the State Fire Marshall if warranted.
  • Upon confirmation of payment received, the license will be issued.
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • DDA Licensure Surveyor will confirm the Secretary of State (SOS) registration reflects current requested name change.
  • Upon confirmation of payment received and SOS, the license will be issued.
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • Upon confirmation of payment received, the license will be issued.
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced, and Background Check documentation will be emailed to the provider.
  • Upon confirmation of payment received and background check validation, the license will be issued.

 

 

  • Must meet capacity requirements per DDA Licensure Rules
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • New Life Safety will be needed if requesting an increase in capacity that changes the occupancy classification and/or expanding to include previously uninspected area(s). Your DDA Licensure surveyor will submit a Life Safety Inspection request to the State Fire Marshall if warranted.
  • Upon confirmation of payment received and received Life Safety report, the license will be issued.
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • Upon confirmation of payment received and end date, the License will be closed in the DDA Licensure Database, and the provider will receive email confirmation of the completed request.
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • Upon confirmation of payment received and end date, the License will be closed in the DDA Licensure Database, and the provider will receive email confirmation of the completed request.
  • Usually within 7 business days of receipt of the Change of Status, the provider will be invoiced.
  • Upon confirmation of payment received and provider determined end date, an Initial License will issue to include only the active services requested by the provider. The license expiration date will remain the same.