An applicant for certificate of approval shall submit an application to the Department on the form that the Secretary requires. The application shall: Be signed and verified by the applicant; and Provide the information that the Secretary requires, including: The name and address of the applicant; The street address of the property where the private group home is to be located or, if no address, a description which identifies the property; If the applicant does not own the property, the name of the owner; A statement that the applicant will comply with the laws, rules, and regulations that relate to the establishing and operating of private group homes under this subtitle; A statement that the applicant has sufficient resources to establish a private group home, or that those resources are available to the applicant; A statement that the applicant’s facilities meet the federal regulation requirements on program accessibility (45 C.F.R. §§ 84.21 through 84.23); and A statement that the applicant will: Establish and implement a safety plan for the safety of individuals served by the private group home; or Implement a safety or emergency plan established for the private group home for another purpose.