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(vi) A statement of the purpose, scope of services to be provided, intake policy specifying age, gender, type of children to be accepted for care, and the area of the state in which it plans to operate and serve; (vii) A current list of governing board members, including names, positions, addresses and phone numbers for each, and committees; (viii) A financial statement showing assets, income and sources thereof, verification of a minimum of three (3) months operating capital on hand; (ix) The wilderness therapeutic camp’s initial budget, including estimated income and expen- ditures for the first year; (x) A copy of the current policy and procedural manual; (xi) The number of buildings and a statement regarding the general condition of the wilderness structures and/or physical facilities; (xii) Verification of local building and zoning compliance; (xiii) A current fire inspection report; (xiv) A current health and sanitation inspection report; (xv) Disaster plan, including plan for transportation of children; (xvi) Documentation of recreational activities that will be implemented and are appropriate to the developmental needs, and interests of children; (xvii) Menus encompassing four weeks that have been approved by a qualified nutritionist or dietician; (xviii) Job descriptions, including education and work experience requirements for staff; (xix) Names and job titles of staff, and proof of education and work experience as evidenced by completed applications or resumes; (xx) Medical examination reports for all child care staff; (xxi) Tuberculosis screening for all staff; (xxii) Memorandum of Agreement on Criminal Record Checks; (xxiii) South Carolina State Law Enforcement Division (SLED) criminal records checks and FBI fingerprint checks for all staff and volunteers who have unsupervised contact with children; (xxiv) South Carolina Sex Offender Registry Check verification for all staff and volunteers who have unsupervised contact with children; (xxv) National Sex Offender Registry Check verification for all staff and volunteers who have unsupervised contact with children; (xxvi) South Carolina Child Abuse and Neglect Central Registry checks for all staff and volunteers who have unsupervised contact with children; (xxvii) Documentation of orientation training completed by each staff member; (xxviii) Documentation of a nationally accredited restraint training certification for all child care staff who may restrain children; and (xxix) Documentation of first aid and cardiopulmonary resuscitation for at one staff member per working shift and wilderness first aid for at least one staff person who escorts children on expeditions off site. (b) As soon as possible after the receipt of the application for a license, a representative of the South Carolina Department of Social Services will visit the wilderness therapeutic camp and will secure information on which to evaluate the program in relation to licensing standards. (c) If the wilderness therapeutic camp wishes to operate a foster home or adoptive home program in addition to caring for children in residential group care, it will be necessary to submit additional information as required for a license to operate a Child Placing Agency. (3) License. (a) The terms of the license, the number, age and gender of children to be maintained will be stated in the license issued.