TX HHS Form 3705. Application for Plan Review for an Assisted Living Facility

The TX HHS Form 3705, Application for Plan Review for an Assisted Living Facility, is a crucial document that helps solve the problem of ensuring compliance with regulations for new or existing assisted living facilities in Texas. This form is typically used by facility owners or operators who need to obtain approval from the Texas Health and Human Services (HHS) before commencing construction or renovation projects.

The application requires key information about the facility, including its name, contact person, and project details such as cost estimate and fire sprinkler status. The applicant must also provide architectural and engineering firm information, as well as specify the type of assisted living facility (Type A or Type B) and its capacity. Additionally, the form asks if plans have been previously submitted for this project and if so, when and by whom.

By completing this application, facilities can ensure that they meet the necessary requirements and regulations set forth in the Texas Administrative Code (TAC), Title 26, Part 1, Ch. 553, §553.4(e). The form also includes a fee enclosure for remittance to the HHS. Key points to note include:

• The application is required for new or existing assisted living facilities seeking approval from the Texas Health and Human Services (HHS).
• The form requires detailed information about the facility, including its name, contact person, and project details.
• The applicant must specify the type of assisted living facility and its capacity.