License Renewal

Renewal application – Please use this form to renew an existing license. Your completed Renewal Application should be mailed to the address below. For providers of children’s residential services, please also include your money order in the amount of $100.00 made out “Treasurer of Virginia” with your Renewal Application.

DBHDS
Attention: Office of Licensing
P.O. Box 1797
Richmond, VA 23218-1797

Service Modification of License

Service Modification Application - Please use this form when you are already licensed to provide children's residential services and want to want to modify the license or add a service or location. Please submit the completed form 45 days prior to implementation of the modification.

• Emergency to Final DOJ Regulations Crosswalk
• Children's Residential Facilities Rules and Regulations
• Regulations for Licensing Provider by the Department of Behavioral Health and Developmental Services (August 2020)
• Human Rights Regulations (2017)
• Instructions to Receive Notice of Regulatory and Guidance Document Changes

• Variance Protocol For Providers (March 2019)
• Variance Request Form (July 2019)

Crosswalk

• DMAS_DBHDS Comprehensive Needs Assessment Comparison (November 2018)
• ASAM Level of Care Crosswalk with DBHDS Licensing Numbers

Training

• Risk Management & Quality Improvement Strategies Training by the Center for Developmental Disabilities Evaluation & Research - Recorded Webinar (December 2020)
• Risk Management & Quality Improvement Strategies Training by the Center for Developmental Disabilities Evaluation & Research - Handout (December 2020)
• Quality Improvement-Risk Management Training (November 2020)
• Root Cause Analysis Training (November 2020)
• Final licensing Regulations Training (October 2020)

Guidance For Licensed Services

• Guidance For Quality Improvement Program (November 2020)
• Guidance For Serious Incident Reporting (November 2020)
• Guidance on Corrective Action Plans (CAPs) (August 2020)
• Guidance on Incident Reporting Requirements (August 2020)
• Guidance for Risk Management (August 2020)
• LIC18 Guidance Individuals with DD High Risk Health Conditions (May 2020)
• Amendments to Criminal Background Checks
• ASAM Level of Care Crosswalk with DBHDS Licensing Numbers
• Case Management Crisis Plans
• Ceiling Height Guidance (June 2017)
• Certificate of Use and Occupancy Guidance (June 2017)
• Change Of Ownership Process
• Children Residential Safety Matrix Process (October 2015)
• Fall Risk Assessments
• Information about changes in Children's Residential Services
• Intensive Care Coordination Licensing Not Required
• Licensing Intensive In-Home Services
• Nutrition Assessments
• OTP/MAT License Technical Assistance (March 2017)
• Psychiatric Bed Registry Requirements (September 2016)
• QMHP/QMRP/QPPMH Definitions
• Therapeutic Day Treatment (TDT) and Agreements with Schools
• Waiver Redesign License Guidance (June 2016)

Guidance For Medication Administration Training

• New Provider Medication: Glucagon and Epinephrine (November 2014)
• Provider Medication Administration Training (June 2013)
• BON Approval for Diastat Staff Training (April 2014)
• Diastat Administration Training Curriculum (November 2013)
• Medication Administration via Percutaneous Gastrostomy Tube (G-Tube) AND Administration of Insulin, Glucagon, and Epinephrine (July 2013)
• Curriculum: 6-hour Training: Medication Administration via Percutaneous Gastrostomy Tube (G-Tube) (May 2013)
• Glucagon and Epinephrine Administration (November 2014)

Quality Improvement-Risk Management Resources for Licensed Providers

File A Complaint - (Click here to open and complete form.)

Instructions to send and attach Complaint Form as a Word document:

1. (1) Click on "File".
2. (2) Click on "Save & Send".
3. (3) Click on "Send Using E-mail".
4. (4) Click on "Send as Attachment".
5. This will pull up the Complaint form as an attachment in your email. You may then type in or copy/paste "OLcomplaints@dbhds.virginia.gov".