LDSS-2865. Application for Approval Family Type Home for Adults

Form LDSS-2865, Application for Approval Family Type Home for Adults, is a New York State Office of Children and Family Services form used by individuals wishing to open a family type home for adults, typically in the form of a group home or assisted living facility, within the state of New York. This form is used to obtain approval of the facility from the New York State Office of Children and Family Services.

The form consists of several sections, beginning with general information about the individual or organization applying for approval. This includes the name of the applicant, their contact information, and the name and address of the proposed facility. The form also requires the applicant to provide a brief description of the services and amenities offered by the facility, including the types of housing and care provided, as well as the number of beds available.

Important fields in this form include the type of facility proposed, any additional services or amenities offered, and the number of beds available. It is important to fill out this form accurately since any discrepancies or errors can cause delays in the approval process.

This form is typically used by individuals or organizations seeking to open a group home or assisted living facility in the state of New York. Before filling out this form, individuals or organizations should research any local and state laws that may apply to the proposed facility. Additionally, potential applicants should contact their local county office to ensure they are in compliance with local zoning and safety regulations.

Related forms include the LDSS-2866, Application for Approval Residential Care Home for Adults, and the LDSS-2867, Application for Approval Adult Home. These forms are similar to the LDSS-2865, but are used for specific types of residential care homes, such as adult homes, rather than family type homes. Additional documents that may be required to complete the application process include proof of property ownership or rental agreement, and proof of any required certifications or licenses.