Tags Posts tagged with "CRC"


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The DHS Licensing Administration wishes to provide important information about procedural updates related to the issuance of renewal Certificates of Compliance. In August 2022, the renewal process was updated to require the Civil Rights Compliance Attestation (HS2125) be submitted together with the renewal application to Licensing Administration. Feedback with this procedure change has been favorable.

In reviewing their procedure for issuing the renewal Certificates of Compliance, the Licensing Administration has found that a significant number of providers request changes to their licenses after a renewal has been issued but before the current license expired. This adds an increase in processing time, as the administration then must revise the unexpired license and reissue the renewed license. As a result, it slows down the process to issue the other renewals in queue. Therefore, the procedure has changed. The renewal Certificates of Compliance will not be issued until the current Certificate of Compliance is within 30 days of expiration. This procedural change will better facilitate the timely and accurate issuance of renewal Certificates of Compliance.

Below are a few reminders:

  • The Bureau of Equal Opportunity no longer issues an approval letter after submission of the Civil Rights Compliance (CRC) Attestation (HS2125). The renewed Certificate of Compliance verifies that the CRC Attestation (HS2125) was accepted/approved.
  • The Civil Rights Compliance Attestation (HS2125) can be found here.
  • Licensing Administration frequently uses email for communication, including emailing of the Certificate of Compliance. Therefore, Licensing Administration must be notified of email changes. The renewal application should also include current email addresses.
  • When contacting Licensing Administration, please include the following in the subject line of the email: REASON – AGENCY/FACILITY NAME – LICENSE/CERTIFICATE NUMBER. The reason can be RENEWAL, QUESTION, REQUEST, REVISION, etc.
  • The contact information for each Program Office served by Licensing Administration is as follows:
    • Office of Children, Youth and Families (OCYF): Email | 717-787-9763
    • Office of Mental Health & Substance Abuse Services (OMHSAS): Email | 717-703-0006
    • Office of Long-Term Living (OLTL/BHSL) – Personal Care Homes & Assisted Living Residences: Email | 717-705-0382
    • Office of Developmental Programs (ODP): Email | 717-787-6958
    • Licensing Administration Director: Email | 717-705-6954

Immediate Action Required for Regulatory Compliance – Please Read Carefully

The Department of Human Services (DHS) is providing a critical update to those providers who hold a license to operate a facility licensed by DHS. On August 18, 2022, DHS and RCPA released an alert regarding changes in how licensed agencies provide information related to civil rights compliance. Since that time, DHS has received several questions and is providing further clarification.

  1. When sending the CRC form or the CRC attestation form, please send it as a PDF. Please do NOT send as a secure file, secure email, or link to a secure portal to retrieve the document. We are unable to access those forms, and they will be returned. When emailing the forms for submission:
    1. Use the following naming convention in the subject line when submitting Renewal HS2125:
      • Attestation – Program Office – Name of Facility or Agency – License number or APP number if assigned
        • Examples:
          • Attestation – OCYF – Apple Agency Home – 123450
          • Attestation – ODP – Apple Agency – APP-00123456
    2. Use the following naming convention in the subject line when submitting a new application HS2126:
      • New – Program Office – Type of Service – Name of Facility or Agency
        • Examples:
          • New – BHSL  – PCH – Apple Personal Care Home
          • New – ODP – Life Sharing – Apple Agency – APP-00223456
  2. In the Office of Developmental Programs (ODP) and the Office Mental Health and Substance Abuse Services (OMHSAS), there are providers who have one license that cover multiple locations. In this case, you only need to submit one form (either the HS2125 or the HS2126) and list the addresses of each satellite site/location that falls under that license.
  3. If in the past, you completed the Civil Rights Compliance Questionnaire (CRCQ) annually, as part of the renewal license process, you will need to complete the Civil Rights Attestation (HS2125) when you receive your next notice to complete the renewal application process.
  4. If you have a current license, your CRC was approved. You will need to complete the Civil Rights Attestation (HS2125) when you receive your next notice to complete the renewal application process.
  5. For Assisted Living and Personal Care Home providers, when submitting the renewal application for a license, the renewal application, the renewal application fee, and the Attestation (HS2125) must be sent in hard copy in one envelope to Licensing Administration in Harrisburg, as noted on the cover letter of the renewal application packet.
  6. Please ensure that the “Non-Discrimination in Employment” policy statement and the “Non-Discrimination in Services” policy statement issued by your facility contain updated contact information (as indicated below). If this administrative update is the only change that has occurred since the facility’s last license was issued, it is not necessary to provide updated copies to the Department as part of Form HS 2125.

Commonwealth of Pennsylvania
Department of Human Services
BEO/Office of Civil Rights Compliance
Room 225, Health & Welfare Building
P.O. Box 2675 Harrisburg, PA 17120
Inquiries: (717) 787-1127

Office for Civil Rights
U.S. Department of Health and Human Services Centralized Case Management Operations 200 Independence Avenue, S.W.
Room 509F HHH Bldg
Washington, D.C. 20201
Customer Response Center: (800) 368-1019 TDD: (800) 537-7697

U.S. Equal Employment Opportunity Commission
801 Market Street, Suite 1000
Philadelphia, PA 19107-3126
Inquiries: (800) 669-4000
Complaint Process Overview

Pennsylvania Human Relations Commission
333 Market Street, 8th Floor
Harrisburg, PA 17101
Inquiries: (717) 787-4410