Provisional certificate

(a) An individual may function as an administrator no longer than six (6) months with a provisional certificate, provided that one (1) of the deeming criteria as specified in OAC 310:664-3-4 has been acknowledged by the Department. (b) An individual shall apply on the Department form which shall include, but not be limited to, the following: (1) Name, complete home mailing address, and telephone number; (2) The name and address of the agency where employed; (3) A copy of written authorization by the administrator or member of the governing board allowing the individual to temporarily function as the administrator; (4) Evidence of meeting the deeming criteria specified in OAC 310:664-3-4; (5) A one (1) time, non-refundable fee of eighty dollars ($80.00); and (6) A copy of the results of a criminal arrest check conducted by the OSBI within sixty (60) days prior to submission of the application. (c) The Department shall notify the applicant of its decision within thirty (30) days from receipt of the application. (d) Any individual that alters any administrator certificate or allows alteration of any administrator certificate shall be denied a home care administrator certificate upon application. OAC 310:664 OKLAHOMA STATE DEPARTMENT OF HEALTH 8 June 11, 2009 SUBCHAPTER 5. PREPAREDNESS PROGRAM Section