(a) An applicant for certificate of approval shall submit an application to the Department on the form that the Secretary requires.
(b) The application shall:
(1) Be signed and verified by the applicant; and
(2) Provide the information that the Secretary requires, including:
(i) The name and address of the applicant;
(ii) The street address of the property where the private group home is to be located or, if no address, a description which identifies the property;
(iii) If the applicant does not own the property, the name of the owner;
(iv) A statement that the applicant will comply with the laws, rules, and regulations that relate to the establishing and operating of private group homes under this subtitle;
(v) A statement that the applicant has sufficient resources to establish a private group home, or that those resources are available to the applicant;
(vi) A statement that the applicant’s facilities meet the federal regulation requirements on program accessibility (45 C.F.R. §§ 84.21 through 84.23); and
(vii) A statement that the applicant will:
1. Establish and implement a safety plan for the safety of individuals served by the private group home; or
2. Implement a safety or emergency plan established for the private group home for another purpose.