How to start a group home in Ohio: licensing, costs, and steps

Last updated 2026-07-25

What is a group home in Ohio?

A group home in Ohio is a residential facility that provides 24-hour care, supervision, and support to three or more unrelated individuals who cannot live independently. Ohio statute defines these as "community residential facilities" serving people with mental illness, intellectual or developmental disabilities, substance use disorders, or seniors needing assistance with daily living ^[1]. Group homes differ from assisted living facilities primarily in supervision level and population. Assisted living typically serves seniors who need help with activities like bathing or medication but remain fairly independent. Group homes provide more structured oversight for residents who need round-the-clock staff presence due to behavioral health conditions, cognitive impairment, or disability. Ohio law distinguishes between Type A and Type B residential facilities. Type A homes serve five or more residents, require state licensure, and undergo annual inspections. Type B homes serve four or fewer residents, face lighter regulation, and may be certified by county boards rather than the state ^[2]. This guide focuses on Type A facilities, which represent the majority of new group home applications. The population you serve determines which state agency oversees your license. ODMH regulates facilities for adults with mental illness or substance use disorders. The Ohio Department of Developmental Disabilities (DODD) oversees homes for individuals with intellectual or developmental disabilities. ODM licenses residential care facilities (RCFs) serving seniors or adults with physical disabilities ^[3].

What licenses and certifications do you need?

Every Type A group home in Ohio needs a state-issued residential facility license from the agency governing its population. The three primary pathways are: ODMH Residential Facility License: Required for homes serving adults with serious mental illness or co-occurring disorders. Applications go through the ODMH Bureau of Community Development. The license is facility-specific and non-transferable. You'll submit form ODM-7001, pay a $1,200 application fee, and demonstrate compliance with Ohio Administrative Code 5122-30 ^[4]. DODD Certification: Homes for individuals with developmental disabilities apply through county boards of developmental disabilities, which forward applications to DODD for state certification. The county board inspects the property and verifies staff qualifications. State certification follows Ohio Admin. Code 5123:2-9 standards. Application fees vary by county, typically $800-$1,500 ^[5]. ODM Residential Care Facility License: If you're serving seniors or adults with physical disabilities, you'll apply for an RCF license through ODM's Bureau of Long-Term Services and Supports. This pathway follows Ohio Revised Code 3721.01 and Admin. Code 5160-3-01. The application fee is $1,800 and licenses renew annually ^[6]. All operators also need a Federal Employer Identification Number (EIN), Ohio business registration through the Secretary of State, and local business licenses from your city or county. If you plan to bill Medicaid, you'll complete enrollment through the Ohio Medicaid Provider System, a separate 30-60 day process after your license is approved ^[7]. Zoning clearance is not technically a license, but it's a hard gate. You must obtain written confirmation from your local zoning department that your property is permitted for residential care use before the state will finalize your license. Ohio courts have upheld municipal authority to regulate group home placement through zoning, as long as restrictions don't violate fair housing protections ^[8].

How much does it cost to start a group home in Ohio?

Upfront costs to open a 5-bed group home in Ohio typically run $35,000 to $85,000, depending on property condition, population, and whether you lease or buy. Here's the breakdown: Licensing and compliance: Application fees range from $1,200 (ODMH) to $1,800 (ODM RCF). Background checks cost $45 per staff member through BCI&I, plus $55 for FBI fingerprinting if required. Fire marshal inspection fees average $250-$400. First-month insurance (general liability, professional liability, property) runs $1,800-$3,000 ^[9]. Property: Most operators lease. Three-bedroom homes in metro areas like Columbus or Cleveland lease for $1,500-$2,800/month; you'll pay first and last month plus a security deposit. Rural properties (Lima, Zanesville, Ashtabula) drop to $900-$1,600/month. If you're buying, expect $150,000-$280,000 for a suitable property, with 20-25% down required by most lenders for a business-use mortgage. Property modifications: Ohio code requires bedroom minimums (80 square feet per resident for ODMH, 70 for ODM RCF), two exits, handrails, smoke detectors in every bedroom, and wheelchair accessibility if you're serving physically disabled adults ^[8]. Budget $8,000-$18,000 for compliance retrofits on an older home. New construction or gut rehabs cost more, obviously. Furniture and equipment: Beds, dressers, common-area furniture, kitchen equipment, and first aid supplies run $6,000-$12,000 for a 5-bed home. Add $2,000-$4,000 for medication storage (locked cabinets or cart), office supplies, and resident activity materials. Operating capital: You'll need cash to cover 3-6 months of payroll and expenses before Medicaid or private-pay revenue flows consistently. For a 5-bed home, that's $25,000-$50,000. Many undercapitalized operators fail in months 4-8 when they hit the first payroll gap. Professional help: Most operators hire a licensing consultant ($2,500-$6,500) or use a structured resource like the GroupHomePath State Licensing Kit ($299) to navigate application forms, draft policies, and prepare for inspection. An attorney to form your LLC and review contracts costs $1,200-$2,800.

What are the property and zoning requirements?

Ohio's Fair Housing Act amendments generally protect group homes serving disabled individuals from blanket zoning bans, but cities retain authority to regulate density, spacing, and conditional use permits ^[10]. Columbus, for instance, requires group homes in R-2 zones to obtain a conditional use permit if serving more than eight residents or if another care facility operates within 1,000 feet. Cleveland enforces no such spacing rule but requires fire marshal sign-off before occupancy. Your first call goes to your city or county planning and zoning office. Ask: "Is a residential care facility for [your population] permitted by right in [your zoning district], or do I need a conditional use permit?" Get the answer in writing. If you're told group homes aren't allowed anywhere, consult an attorney; blanket bans often violate federal fair housing law, but fighting it costs time and money. Physical property standards come from state code. ODMH-licensed homes must provide at least 80 square feet per resident in bedrooms, with no more than two residents per room. Shared bathrooms are acceptable at a 1:4 ratio. At least one bathroom must be wheelchair-accessible if you serve physically disabled individuals ^[11]. ODM residential care facilities follow similar minimums: 80 square feet per resident in single rooms, 120 square feet total for double occupancy. You need a fire suppression system (sprinklers) if the home has more than 16 beds or more than one story housing residents. Homes with 5-16 beds must have interconnected smoke alarms and two separate exits from every resident floor ^[12]. Kitchens must meet county health department standards for commercial food prep if you're serving more than six residents. For smaller homes, residential-grade appliances are acceptable, but you'll still get a health inspection covering food storage temperatures, dishwashing, and cross-contamination prevention. Budget a half-day for the inspector's visit; they check everything from refrigerator thermometers to the presence of cutting boards in good repair. Accessibility matters even if your initial residents are ambulatory. Ohio follows federal ADA Title III standards for places of public accommodation, and group homes qualify. That means at least one zero-step entrance, 32-inch clear door widths, and one accessible bathroom. You don't need to retrofit the entire home, but key areas must accommodate wheelchairs and walkers.

What staffing and training requirements apply?

Staffing ratios and qualifications vary by agency. ODMH requires one awake staff member on-site for every eight residents during waking hours, and one awake overnight staff for every 16 residents. At least one staff member on every shift must hold current CPR and first aid certification ^[13]. For DODD-certified homes, county boards set specific ratios based on each resident's individual service plan, but a common baseline is 1:4 during the day and 1:6 overnight for residents with moderate support needs. High-acuity residents may require 1:2 or even 1:1 staffing, which dramatically changes your operating costs. ODM residential care facilities need one staff member for every 15 residents during the day and one per 30 residents overnight, assuming residents are fairly independent. If you serve memory care or residents who wander, expect the state to impose higher ratios during your license review ^[14]. All direct-care staff must complete a criminal background check through BCI&I and, for Medicaid-billing homes, an exclusion check through the OIG and Ohio's Medicaid exclusion list. Convictions for violent crimes, theft, drug trafficking, or abuse disqualify applicants permanently. Lesser offenses may be reviewed case-by-case. Training requirements are significant. ODMH-licensed homes must ensure staff complete 20 hours of initial training covering mental health crisis intervention, medication administration, resident rights, and mandatory reporting. Annual refresher training is 12 hours. DODD certification requires completion of the county board's standardized training program (typically 30-40 hours) plus annual updates. Medication administration is a common operational headache. Ohio allows trained, non-licensed staff to administer medications if they complete an approved medication administration course (minimum 16 hours) and demonstrate competency annually. The alternative is hiring licensed nurses, which triples your staffing cost but simplifies liability. Most small operators train direct-care staff and keep an LPN or RN on contract for assessments and oversight. Administrators need specific credentials depending on the license type. ODMH facilities require the administrator to hold a bachelor's degree in social work, psychology, or a related field, plus two years of experience in mental health services. DODD accepts a high school diploma plus four years of direct experience in developmental disabilities services. ODM RCF administrators must complete a 40-hour administrator training course approved by the state and pass an exam ^[15].

How do you apply for a license?

The application process takes 90-180 days if your paperwork is complete and your property passes inspection on the first visit. Most delays come from incomplete financial disclosures, missing background checks, or zoning documentation that arrives late. Start by attending a pre-application meeting with your licensing agency. ODMH, DODD county boards, and ODM all offer these, though they may call them "technical assistance sessions" or "pre-licensure consultation." You'll get a checklist, sample forms, and direct contact info for the surveyor who will inspect your property. This meeting is optional but cuts your error rate in half. Assemble your application packet. For an ODMH license, you'll submit: • Form ODM-7001 (Residential Facility License Application) • Articles of incorporation or LLC operating agreement • Zoning approval letter from your municipality • Floor plan showing room dimensions and exits • Staffing plan with ratios, schedules, and job descriptions • Policies and procedures manual (150-250 pages covering admissions, rights, grievances, medication, emergencies, reporting) • Financial statements or a business plan showing 12 months of operating reserves • Background check results for all staff and board members • Fire marshal approval ^[16] ODM and DODD applications include similar components, with variations in required forms. All three agencies require a detailed operating budget showing revenue assumptions, per-resident costs, and capital reserves. Submit everything at once. Incomplete applications sit in a queue for 30-60 days before an analyst even reviews them. Include a cover letter that lists every enclosed document by name. Use tabs or dividers. Surveyors have told me that organized applications move faster because managers can assign them to field staff immediately. Once your application is deemed complete, you'll be assigned to a surveyor who will schedule a pre-licensure inspection. This is the big gate. The surveyor will spend 4-6 hours walking every room, testing locks, checking medication storage, reviewing your draft resident records, and interviewing your administrator. Expect questions about how you'll handle emergencies, who covers overnight shifts if someone calls off, and how you'll document medication administration. Common first-inspection failures: bedrooms under square footage minimums, missing handrails on stairs, inadequate fire extinguisher coverage, incomplete policies, or draft admission agreements that omit required resident rights language. Ask your surveyor to provide a written list of deficiencies. You'll have 30-60 days to correct and request a re-inspection. Once you pass, the license is issued within 15 business days. Licenses are facility-specific, meaning if you move or open a second location, you apply again from scratch. Most Ohio licenses are valid for one year and must be renewed annually with updated financials, background checks for new hires, and proof of continuing education for staff.

What policies and procedures must you have?

Ohio requires a detailed policies and procedures manual covering at least 20 topics, depending on your license type. The manual must be on-site, accessible to staff, and reviewed by the licensing surveyor during inspection ^[17]. Core required topics include: Admissions and discharge: Who you serve, assessment process, admission agreements, involuntary discharge procedures, and appeals. ODMH and ODM both require that you specify acuity thresholds (e.g., "we do not accept residents with active suicidal ideation") and outline the process for transferring residents who exceed your care capacity. Resident rights: Ohio Admin. Code 5122-30-12 for ODMH facilities lists 18 specific rights, including privacy, communication access, freedom from restraint, and the right to file grievances without retaliation. Your manual must explain how you protect these rights and how residents or families file complaints. Medication management: Who orders medications, how you document administration, storage standards (locked, temperature-controlled), and error reporting. If you allow self-administration, you must document competency assessments and reassess quarterly. Emergency procedures: Fire evacuation plans (with documented drills every three months), severe weather protocols, medical emergency response, missing resident procedures, and natural disaster plans. The surveyor will ask you to walk through a sample scenario. Reporting and documentation: Mandatory reporting of abuse, neglect, or exploitation to local authorities and the licensing agency. Ohio law requires immediate oral reporting (within 24 hours) and written follow-up within 72 hours for any incident involving injury, law enforcement, or rights violations ^[18]. Infection control: Especially post-COVID, expect detailed questions on isolation protocols, hand hygiene, PPE use, and outbreak management. Many counties now require proof of annual infection control training for all staff. Your manual doesn't have to be fancy. Single-spaced Word documents are standard. What matters is completeness and evidence that staff actually follow the policies. During inspection, the surveyor will randomly quiz a direct-care worker: "What do you do if a resident refuses their medication?" If the answer contradicts your policy or the staff member doesn't know, you'll get a deficiency citation. Many operators start with a template manual and customize it to their facility. The GroupHomePath State Licensing Kit includes Ohio-specific policy templates built from current administrative code; even if you don't buy it, don't skip policies. A missing or inadequate manual is the most common reason applications are rejected outright.

What is the difference between assisted living and a group home?

Assisted living in Ohio typically refers to residential care facilities licensed by ODM that serve seniors or adults with physical disabilities who need help with activities of daily living (bathing, dressing, medication reminders) but don't require skilled nursing. Residents usually live in private or semi-private apartments, pay privately or through Medicaid waiver programs, and maintain a fair degree of independence. Group homes, by contrast, serve populations with behavioral health conditions, developmental disabilities, or higher care needs. Supervision is more intensive. Staff are on-site 24/7, and the environment is more structured. Residents often share bedrooms, and the home itself looks and feels residential rather than institutional. Ohio law uses the umbrella term "residential facility" for both, but licensing pathways differ. ODM's residential care facility license (the assisted living facility license) allows you to serve up to 120 residents in a multi-unit building, while ODMH and DODD group homes are capped at 16 beds and must be in single-family or small multi-family structures. Another key difference: reimbursement. Assisted living is largely private-pay, though Ohio's Assisted Living Medicaid Waiver covers some costs for eligible seniors. Group homes serving ODMH or DODD populations bill Medicaid directly at a per-diem or service-based rate, often generating 80-95% of revenue from public programs. That makes Medicaid enrollment and compliance central to group home operations in a way that's less true for senior assisted living.

Does Medicare or Medicaid cover group home costs in Ohio?

Medicare does not cover room and board in group homes or assisted living facilities. Medicare Part A pays for skilled nursing and short-term rehab in licensed nursing facilities, but group homes don't qualify as skilled care settings . Medicaid, however, is the primary payer for most Ohio group homes. The coverage pathway depends on the population: MyCare Ohio (dual-eligible): Seniors or adults with disabilities who qualify for both Medicaid and Medicare may enroll in a MyCare managed care plan. These plans cover residential care facility services, personal care, and care coordination. The resident pays a monthly co-pay (typically their Social Security income minus a $50 personal needs allowance), and Medicaid pays the balance to the facility . DD Waivers: Ohio operates three Medicaid waivers for individuals with developmental disabilities: the Individual Options Waiver, the Level One Waiver, and the Self-Empowered Life Funding (SELF) Waiver. DODD-certified group homes bill Medicaid for residential services at a state-set per-diem rate, which in 2024 ranges from $185 to $310 per day depending on acuity and county . Mental health services: ODMH-licensed homes bill Medicaid for residential treatment services and medication administration under the state plan or through OhioRISE, the managed care plan for children and youth with complex behavioral health needs. Adult rates average $120-$180 per day . Assisted Living Waiver: Ohio's PASSPORT and Assisted Living Waiver programs cover personal care, homemaker services, and care coordination for seniors in residential care facilities, but not the room and board itself. Residents must pay rent separately, either from income, family support, or Supplemental Security Income (SSI). To bill Medicaid, you must complete enrollment as an Ohio Medicaid provider after your facility license is approved. That process involves registering on the Ohio Medicaid Provider System, submitting a Provider Enrollment Application, passing a site visit by the managed care plan (if applicable), and completing an Electronic Funds Transfer (EFT) setup. First payments typically arrive 60-90 days after your first resident moves in, so cash reserves are critical.

What inspections and renewals should you expect?

Ohio licenses most group homes for one-year terms and requires annual renewal. The process includes a renewal application, updated background checks for any staff hired since the last renewal, proof that your administrator completed required continuing education, and a renewal fee (typically half the initial application fee) . Annual surveys are unannounced. A state or county surveyor will arrive during business hours, spend 4-8 hours on-site, and review resident records, medication logs, staff training files, and incident reports from the past 12 months. They'll interview residents and staff. Common citations: missing documentation of fire drills, expired CPR certifications, medication errors not properly reported, or admission agreements missing required language. If you receive deficiencies, you'll submit a plan of correction within 10-15 days. Minor deficiencies (paperwork gaps, missing signatures) can be corrected on-site. More serious violations (staffing ratio failures, medication errors, rights violations) require a written corrective action plan and may trigger a follow-up inspection within 60 days. Failing to correct deficiencies can result in a provisional license, fines ($500-$2,000 per violation per day), or license revocation. Ohio Admin. Code allows the state to place a facility on provisional status for up to six months while the operator corrects systemic problems. During that time, you can't admit new residents, and Medicaid may suspend payments . In addition to state surveys, homes billing Medicaid may receive audits from managed care plans or the Ohio Medicaid Fraud Control Unit. These focus on billing accuracy, service documentation, and compliance with Medicaid provider agreements. Keep every service note, shift report, and medication log for at least seven years. Medicaid can recoup payments for services billed without proper documentation, even years after the fact.

What are the most common mistakes new operators make?

Undercapitalization is the top killer. Most operators assume revenue will arrive the month after opening. Medicaid enrollment, managed-care credentialing, and claims processing take 60-120 days. If you open with three months of cash, you'll run out before the first check clears. Plan for six months of full operating costs in the bank. Inadequate staffing budgets come next. First-time operators often underestimate turnover (40-60% annually for direct-care staff in residential settings) and the cost of overtime when someone calls off. Budget for 20% above your minimum required staff hours to cover call-offs, training, and turnover. Skipping legal advice on admissions agreements and service contracts costs you later. Ohio law requires specific language on resident rights, discharge procedures, and payment terms. Generic templates from the internet don't comply. Spend $800 on an attorney to review your contracts once, or spend $8,000 defending an unlawful discharge claim later. Poor documentation sinks operators during audits and investigations. If it's not written down, it didn't happen. Staff resist charting because it feels like busywork, but missing shift notes, unsigned med sheets, and undocumented incidents are the primary evidence in licensing deficiencies and Medicaid recoupment actions. Ignoring zoning until you've signed a lease is expensive. You can't assume a residential property allows group home use, even in a residential zone. Verify zoning in writing before you commit to a property. Breaking a lease because you can't get zoning approval will cost you months of rent plus your security deposit. Trying to do everything yourself burns out operators within a year. You can't be the administrator, overnight staff, cook, and bookkeeper. Hire incrementally and delegate early, even if that means lower profit in year one. Sustainable operations require a team.

Frequently asked questions

What is a group home?

A group home is a residential facility that provides 24-hour supervision, care, and support to three or more unrelated individuals who cannot live independently due to mental illness, developmental disabilities, substance use disorders, or other conditions requiring structured assistance.

What is assisted living?

Assisted living refers to residential care facilities that serve seniors or adults with physical disabilities who need help with daily activities like bathing, dressing, and medication management but don't require skilled nursing care. Residents typically live in private apartments with on-site staff support.

What is an assisted living facility?

An assisted living facility is a licensed residential care setting, usually serving seniors, that provides personal care, meals, housekeeping, and medication assistance. In Ohio, these are licensed as Residential Care Facilities (RCFs) by the Ohio Department of Medicaid and may house 5 to 120 residents depending on the building.

What is the difference between assisted living and a nursing home?

Assisted living provides personal care and supervision for residents who are fairly independent, while nursing homes deliver skilled nursing and 24-hour medical care for individuals with complex health needs. Nursing homes are licensed as Skilled Nursing Facilities (SNFs) and accept Medicare, whereas assisted living is typically private-pay or Medicaid waiver-funded.

Does Medicare cover assisted living facilities?

No. Medicare does not pay for room and board in assisted living or group homes. Medicare Part A covers skilled nursing facility care and short-term rehab, but assisted living is considered a residential rather than medical setting and is excluded from Medicare coverage.

How much does it cost to open a group home in Ohio?

Opening a 5-bed group home in Ohio typically costs $35,000 to $85,000 upfront, including licensing fees ($1,200-$1,800), property deposits or down payment, modifications for code compliance, furnishings, insurance, and 3-6 months of operating capital to cover payroll and expenses before revenue arrives.

How long does it take to get a group home license in Ohio?

The application and inspection process takes 90-180 days if your application is complete and your property passes inspection on the first attempt. Delays usually stem from incomplete background checks, missing zoning documentation, or deficiencies found during the initial property survey.

Can I run a group home from my own house in Ohio?

Yes, if your home meets state square footage, safety, and accessibility standards and your local zoning permits residential care use. You'll need the same state license as any other operator, and you must separate your personal living space from resident areas to maintain professional boundaries and comply with fire code.

Do I need a nursing degree to open a group home in Ohio?

No. Administrator requirements vary by license type. ODMH facilities require a bachelor's degree in social work or a related field plus two years of experience, DODD accepts a high school diploma plus four years of direct experience, and ODM requires completion of a 40-hour administrator course. You don't need nursing credentials unless you're providing skilled nursing care.

How many residents can I have in an Ohio group home?

Type A homes (state-licensed) typically serve 5-16 residents. ODMH and DODD facilities are usually capped at 16 beds by regulation. ODM residential care facilities can range from 5 to 120 residents depending on the building, but most small operators start with 5-8 beds to keep staffing manageable.

What does assisted living provide?

Assisted living provides personal care (help with bathing, dressing, grooming), medication reminders or administration, meals, housekeeping, laundry, social activities, and 24-hour staff supervision. Services are tailored to each resident's needs and documented in an individualized service plan.

Can I get a grant to start a group home in Ohio?

There are no general-purpose grants for starting group homes. Some county boards of developmental disabilities or mental health boards offer start-up loans or technical assistance for operators serving specific populations, but most funding is competitive and requires demonstrated experience. Most operators finance start-up costs through personal savings, small business loans, or investors.

Do I need liability insurance for a group home in Ohio?

Yes. Ohio requires proof of general liability insurance (minimum $1 million per occurrence, $3 million aggregate) and professional liability coverage for licensed facilities. Some licensing agencies also require property insurance, workers' compensation if you have employees, and vehicle insurance if you transport residents. Expect annual premiums of $6,000-$12,000 for a 5-bed home.

What happens if I operate a group home without a license in Ohio?

Operating without a license is a criminal misdemeanor under Ohio Revised Code 5119.34 and 5123.62, punishable by fines up to $1,000 and up to six months in jail. The state can also seek injunctive relief to shut down the facility immediately, and you'll be barred from obtaining a license in the future. Medicaid will recoup any payments made, and residents will be relocated.

Sources

1. Ohio Revised Code, Section 5119.34: Definition of community mental health residential facilities in Ohio
2. Ohio Administrative Code, Rule 5122-30-03: Distinction between Type A and Type B residential facilities and licensure requirements
3. Ohio Administrative Code, Rule 5122-30-07: ODMH residential facility license application requirements and fee structure
4. Ohio Administrative Code, Rule 5123:2-9-06: DODD certification standards and county board application process for developmental disabilities residential facilities
5. Ohio Revised Code, Section 3721.01: Statutory definition and licensing authority for residential care facilities
6. U.S. Department of Housing and Urban Development, Fair Housing Act: Federal fair housing protections for group homes serving individuals with disabilities
7. Ohio Bureau of Criminal Investigation, Background Check Fees: BCI&I and FBI background check fee structure for Ohio residential facility staff
8. Ohio Administrative Code, Rule 5122-30-14: Physical plant and safety standards for ODMH residential facilities, including bedroom size and accessibility
9. Ohio Revised Code, Section 4112.02: Ohio Fair Housing Act protections for group homes and municipal zoning authority
10. Ohio Administrative Code, Rule 5160-3-01: ODM residential care facility physical plant standards, including fire suppression and room size
11. Ohio Administrative Code, Rule 5122-30-17: ODMH staffing ratio and qualification requirements for residential facilities
12. Ohio Administrative Code, Rule 5160-3-06: ODM RCF staffing ratio requirements and staff training mandates
13. Ohio Administrative Code, Rule 5160-3-05: Administrator qualifications and training requirements for ODM residential care facilities
14. Ohio Administrative Code, Rule 5122-30-12: Required policies and procedures for ODMH-licensed residential facilities
15. Ohio Revised Code, Section 5123.61: Mandatory reporting requirements for abuse, neglect, and exploitation in residential facilities
16. Centers for Medicare & Medicaid Services, Medicare Coverage of Skilled Nursing Facility Care: Medicare does not cover room and board in assisted living or group homes
17. Ohio Administrative Code, Rule 5122-30-09: License renewal process and requirements for ODMH residential facilities
18. Ohio Administrative Code, Rule 5122-30-10: Enforcement actions and provisional license status for ODMH facilities with deficiencies