Form 624 2026

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The document outlines the application process and requirements for obtaining a license to operate an Assisted Living Center or Continuum of Care Facility in Oklahoma. It details the necessary forms, deadlines for submission, types of facilities, and specific information required from applicants, including financial disclosures, staffing projections, and compliance with health regulations. The document emphasizes the importance of adhering to state laws regarding licensing and operational changes.

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Begin by filling out Part I for Establishment. Provide the name of the licensee and facility, along with the location details including street, city, and zip code.
In Part II for Initial License, attach necessary documents such as the Resident Service Contract and a description of procedures for resolving resident grievances.
For Part III regarding Surety Bonds and Deposits, describe financial guarantees and provisions for insolvency in separate attachments.
If renewing your license in Part IV, summarize grievance activities from the past year and include the State Fire Marshal inspection report.
Finally, if making amendments in Part V, ensure you submit any substantial changes to previously reported information along with applicable fees.

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