1. Provide a written statement of your company’s purpose and goals 2. The name, address and telephone number of the proposed facility and applicant. If the applicant is a corporation, list the principal members of the corporation. Indicate whether it is a profit or nonprofit corporation. 3. State the name of the author of the proposal. List any parties who participated in writing all or part of the proposal. 4. Describe the proposed facility, including size, layout, and location 5. Number of consumers being served 6. Provide Consumer entrance and exit criteria 7. Provide anticipated outcomes resulting from the Consumers’ participation in the program 8. Provide a section on equity and diversity pursuant to WIC, Section 4648.11. Describe how the facility will serve diverse populations, including but not limited to culturally and linguistically diverse populations. The plan shall address how the facility will provide culturally and linguistically competent services and supports: examples of the applicant’s commitment to address needs of ethnicity, culture, and language relative to the diverse populations in the NLACRC catchment area and any additional information that the applicant deems relevant to issues of equity and diversity. 9. A description of how the facility will ensure that the appropriate serves and supports are provided at the time of admission to meet the consumer’s immediate needs pending development of the Individual Supports Plan 10. A description of consumer services to be provided, including instructional methods and techniques to be utilized...
