KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Foster Care and Residential Facility Licensing Division
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APPLICATION FOR LICENSE TO OPERATE A RESIDENTIAL FACILITY FOR CHILDREN
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_051_ApplicationToConductResidentialFacility.pdf
o Email –Upon selecting Continue in the previous step, the system will generate an email to the email address on file
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9 E-Mail Address: required –Confirmation emailed to this email
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https://www.dcf.ks.gov/services/CSS/Documents/KPCpay Presentation.Employer_2017.pdf
Ks 66603-3444 Phone: (785) 368-8157 Email: Melinda.Kline@ks.gov (2) To Iowa Tribe of Kansas
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66094-4028 Phone: (785) 595-3260 Email: sdrake@iowas.org b. All correspondence, reports
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Iowa Tribe SFY23 NOGA.pdfView duplicates
Rehabilitation Services Policy Manual SECTION Administrative Issues SECTION NO. 1-1 PART Organizational Structure PUBLISHED 03/21
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Rehabilitation Services offers a variety of programs
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_1.pdf
SHANNON CONNELL, FOOD SECURITY AND UTILITY ASSISTANCE DIRECTOR
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out by teams in 36 service centers
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Economic and Employment Services (EES) provides a variety of programs that can help
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2023/1.19 H WF DCF SNAP.pdf
Agency: Street Address* City, State, Zip* E-Mail Phone Number Fax Number Between Kansas
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Alphapointe OIB Renewal 1 and 2 SFY23.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award Number – N/A DCF Award Number
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer.goodman@ks.gov (2) To Grantee: KVC
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KVC Family First-Strengthening Families NOGA SFY24.pdf
Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdf
*physical address required, including 9-digit zip code
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This grant shall remain in effect, subject to the terms and conditions stated in the original Notification of Grant
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC Renewal 1 and 2 SFY23.pdf
Chapter 2: Family Foster Home Descriptions
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Levels of Service (Level of Care/LOC
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Intensive Family Foster Home (Intensive 1 & Intensive 2
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HCBS Waiver Family Foster Home (HCBS – I/DD
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https://www.dcf.ks.gov/services/PPS/Documents/CWHandbookofServices/Placement _Standards_July_2021.pdfView duplicates