Created in 2007 by the Pennsylvania Office of Child Development and Early Learning (OCDEL), The Pennsylvania Key implements the work and supports the policies developed and managed by OCDEL. Learn More. >
Created in 2007 by the Pennsylvania Office of Child Development and Early Learning (OCDEL), The Pennsylvania Key implements the work and supports the policies developed and managed by OCDEL. Learn More. >The Department of Human Services (DHS) Bureau of Equal Opportunity (BEO) develops, implements, and monitors policies and programs for DHS as directed by the Civil Rights Act of 1964, Titles VI and VII, other federal and state anti-discrimination laws, regulations, and Commonwealth policies.
The DHS Civil Rights Compliance (CRC) Forms and process for DHS’s licensed providers and applicants have been updated to reflect new and updated anti-discrimination laws that went into effect in 2023.
You are receiving this message because you hold a license to operate a facility licensed by the Pennsylvania Department of Human Services (DHS).
The new forms and process is effective on Monday, October 1, 2024. Existing licensees and applicants must begin submitting the new forms and following the new process effective this date.
NOTE:
The sample policy statement included in the updated CRC forms was recently updated to incorporate the noted changes in law. Providers need to submit a copy of their policy statement with their CRC form and may use the language as written in the sample form or similar language. BEO has provided the policy statement sample(s) for ease of use by providers, but the exact language in the sample forms is not required to be used. Providers should submit the policy statements that are in use that meet the laws while allowing for any exemptions. BEO reviews the policy statements and will provide comments back if any changes are necessary.
Entities seeking a new license will utilize a Civil Rights Compliance (CRC) form (HS2126). The prior Civil Rights Compliance (CRC) form is now obsolete and will be returned back to providers. This form must be included in the packet submitted as part of any new license request. The new application, supporting documents and CRC form must be emailed to the DHS office that issues your license, the email address can be found in the chart below. Entities licensed by OCDEL or ODP who use CLS or PELICAN to submit new applications must submit the form by email. The CRC forms are not part of the electronic CLS/PELICAN new application process. The updated CRC form for new applications can be found at https://www.dhs.pa.gov/providers/Clearances-and-Licensing/Pages/App-for-License.aspx
For licensing renewals, a licensee will now submit a CRC Renewal form (HS 2125). The prior Attestation form is now obsolete and will be returned back to providers. The renewal form must be submitted as part of a renewal licensing application. The renewal notice will still be sent out 130 days prior to expiration. The renewal application must be emailed to the DHS office that issues your license; the email address can be found in the chart below. Entities licensed by OCDEL or ODP who use CLS or PELICAN to submit renewal applications must submit the CRC renewal by email. The CRC Renewal form is not part of the electronic CLS/PELICAN renewal application process. The CRC form for can be found at https://www.dhs.pa.gov/providers/Clearances-and-Licensing/Pages/App-for-License.aspx
Previously, the DHS Bureau of Equal Opportunity would issue you a letter verifying that you are compliant with applicable civil rights laws. With the new process, a letter from BEO will no longer be sent out to licensed entities. Instead, the issuance of the new license or renewal license will indicate that your CRC form or renewal form submission was approved. If there are issues/questions on the submitted CRC or renewal form, a staff member from BEO or DHS will contact you.
| If your license is issued by… | Submit your application AND your CRC form (if new license) or CRC Attestation (if license renewal) to: |
| The Bureau of Human Services Licensing For renewals with application payment made electronically, email the application and CRC Renewal form HS2125 | RA-PWLICADBHSLPRO@pa.gov |
| For New applications for Personal Care Homes or Assisted Living Residences must be mailed with the application fee. If paying the renewal application fee with a check or money order, use the addresses and mail with the application and CRC renewal form all together. |
Send the application, supporting documents, Civil Rights Compliance Form (HS2126) and the application fee, check or money order payable to DHS to: Via USPS: DHS/BHSL Or Via Courier: DHS/BHSL |
| The Office of Children, Youth, and Families | RA-PWLICADOCYFPRO@pa.gov |
| The Office of Mental Health and Substance Abuse Services | RA-PWLICADOMHSASPRO@pa.gov |
| The Office of Developmental Programs* | RA-odplicensing@pa.gov |
| The Office of Child Development and Early Learning* |
Child care providers should include their MPI number in the subject line and email the appropriate regional office: Northeast Region: RA-ocdelcertncscrant@pa.gov Central Region: RA-ocdelcertnchbg@pa.gov Counties: Dauphin, Cumberland, Lancaster, York, Adams, Lebanon and York Central Region: RA-ocdelcertncsel@pa.gov Counties: Snyder, Perry, Juniata, Centre, Mifflin, Tioga, Lycoming, Northumberland, Union and Clinton Southeast Region: RA-ocdelcertse@pa.gov Western Region: RA-ocdelcertwpittsbu@pa.gov Counties: Allegheny, Armstrong, Beaver, Butler, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Venango, Warren, Washington and Westmoreland Western Region: RA-ocdelcdertwhollid@pa.gov Counties: Bedford, Blair, Cambria, Franklin, Fulton, Huntingdon and Somerset |
*Licensees who use CLS or PELICAN to submit renewal applications must submit the renewal by email. The renewal is not part of the electronic CLS/PELICAN renewal application process.
If you have any questions about the new process, please contact the applicable DHS office. Division of Licensing Administration Office 717-705-0383, if your facility is a childcare facility please reach the Office of Development and Early Learning (OCDEL) at Western Region 1-800-222-2149, Central Region (Harrisburg) 1-800-222-2117, Northeast Region (Scranton) 1-800-222-2108 or Southeast Region (North & South) 1-800-346-2929 or if your facility is with the Office of Developmental Programs 717-525-5856.
If you have any questions or need assistance with the completion of your civil rights compliance application, please contact Bureau of Equal Opportunity Licensing office at 717-787-1579 or email RA-PWDHSCivilRights@pa.gov. Thank you for your commitment to protecting the rights of Pennsylvania’s most vulnerable citizens.