№ lp_1_2_67593
File format: docx
Character count: 13488
File size: 57 KB
This document is an official application form for licensing an Adult Family Home (AFH) in Wisconsin, detailing required steps and documentation for compliance with state regulations.
Year:
2017
Region / City:
Wisconsin
Topic:
Licensing Application
Document Type:
Application Form
Organization / Institution:
Department of Health Services
Author:
Division of Quality Assurance
Target Audience:
Facility owners and operators applying for licensure
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.
The file will be delivered to the email address provided at checkout within 12 hours.
Don’t have cryptocurrency yet?
You can still complete your purchase in a few minutes:- Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
- In the app, tap Send.
- Select network, paste our wallet address.
- Send the exact amount shown above.
The final amount may vary slightly depending on the payment method.
The file will be sent to the email address provided at checkout within 24 hours.
The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
N/A
Region / City:
N/A
Subject:
Adult Family Home Pre-Inspection Preparation and Inspection Process
Document Type:
Inspection Guidelines
Organization / Institution:
Aging and Long-Term Support Administration (ALTSA)
Author:
N/A
Target Audience:
Providers and staff of Adult Family Homes
Period of Validity:
N/A
Approval Date:
N/A
Date of Last Update:
N/A
Year:
2020
Region / City:
Wisconsin
Topic:
Health and Safety Standards for Adult Family Homes
Document Type:
Checklist
Authority:
Department of Health Services, Division of Quality Assurance
Target Audience:
Applicants for adult family home licensing
Period of Validity:
N/A
Approval Date:
03/2020
Date of Last Change:
N/A
Note:
Year
Topic:
Healthcare, Family Care, Residential Services
Document Type:
Scope of Service
Organization:
iCare Family Care
Target Audience:
Care Providers, Health Services
Year:
2017
Region / City:
Not specified
Topic:
Community Integration, AFH residents, DSHS funding, transportation, medical mileage
Document Type:
Informational Guidelines
Agency / Organization:
DSHS
Author:
Not specified
Target Audience:
DDA Field Staff, AFH providers, staff
Period of Validity:
Not specified
Approval Date:
10/6/2017
Date of Changes:
Not specified
Context:
Guidelines for DSHS funded AFH residents on community integration activities, including eligibility, hours of support, and reimbursement for transportation and medical mileage.
Year:
2022
Region / City:
Wisconsin
Topic:
Medicaid Services, Adult Family Home Regulations
Document Type:
Instructional Guidelines
Agency / Institution:
Department of Health Services
Author:
Department of Health Services
Target Audience:
AFH operators, Medicaid service providers
Effective Period:
Ongoing
Approval Date:
06/2022
Revision Date:
N/A
Year:
2022
Region / City:
Wisconsin
Topic:
Healthcare, Assisted Living, Licensing
Document Type:
Checklist
Organization:
Department of Health Services
Author:
Department of Health Services
Target Audience:
Individuals or organizations seeking licensure for adult family homes
Period of Validity:
N/A
Approval Date:
N/A
Date of Amendments:
N/A
Year:
2021
Region / City:
Not specified
Subject:
Resident rights in adult family homes
Document Type:
Informational sheet
Author:
Not specified
Target audience:
Residents, families, care providers
Period of validity:
Not specified
Approval Date:
October 2021
Date of changes:
Not specified
Year:
2021
Region / City:
United States
Topic:
Adult Family Home Licensing
Document Type:
Information Sheet
Organization / Institution:
Washington State
Author:
Not specified
Target Audience:
Providers, co-providers, entity representatives, and resident managers in adult family homes
Effective Period:
Not specified
Approval Date:
October, 2021
Modification Date:
Not specified
Year:
2017
Region / City:
Wisconsin
Theme:
Health services, licensing
Document Type:
Application form
Organization / Institution:
Department of Health Services, Division of Quality Assurance
Author:
Wisconsin Department of Health Services
Target Audience:
New adult family home providers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2017
Region / City:
Wisconsin
Topic:
Health Services / Assisted Living
Document Type:
Checklist
Organization / Institution:
Department of Health Services
Author:
Division of Quality Assurance
Target Audience:
Facility providers
Period of validity:
N/A
Approval Date:
N/A
Date of changes:
N/A
Contextual description:
A checklist for adult family home providers in Wisconsin outlining requirements for licensure and on-site inspections.
Agency:
Aging and Long-Term Support Administration (ALTSA)
Division:
Residential Care Services (RCS)
Program:
Adult Family Home (AFH)
Document type:
Pre-inspection preparation and inspection working papers
Purpose:
Evaluation of requested AFH capacity increase
Applies to:
Licensed Adult Family Homes
State:
Washington
Related organization:
Washington Association of Building Officials (WABO)
Sections:
Provider or Entity Representative Interview; Caregiver Interview; Resident Interview; Resident Bedroom / Bathroom Worksheet; Additional Space Considerations; Exit Preparation
Topics:
Licensing compliance; Capacity increase; Fire safety; Evacuation procedures; Financial solvency; Resident care; Facility requirements
Referenced systems:
Facility Management System (FMS)
Inspection elements:
Floor plans; Sprinkler system documentation; Evacuation drill timing; Medicaid policy; Bedroom measurements; Bathroom accessibility; Emergency preparedness; Liability insurance
Year:
2021
Region / City:
Not specified
Topic:
Building inspection for Adult Family Homes
Document Type:
Inspection checklist
Organ / Institution:
Not specified
Author:
Not specified
Target Audience:
Property owners, applicants, licensees of Adult Family Homes
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2019
Region / City:
Washington State
Subject:
Policy change
Document type:
Bulletin
Organization:
Washington Department of Social and Health Services
Author:
Candace Goehring, Director, Residential Care Services
Target audience:
RCS Regional Administrators, RCS Field Managers, RCS Management Team, RCS Residential Inspection and Quality Assurance Program
Effective period:
Immediate
Approval date:
August 30, 2019
Revision date:
N/A
Context:
This document informs about a policy change regarding acceptable slopes on ramp landings in adult family homes.
Note:
Year ended
Year:
2024
Region / city:
China, New Zealand, Egypt, Philippines, Arab countries
Theme:
Scientific and technological cooperation, international research projects
Document type:
Agreement, Cooperation guidelines
Organization / institution:
Ministry of Science and Technology of China, New Zealand Ministry of Business, Innovation and Employment, Egyptian Ministry of Higher Education and Scientific Research, Department of Science and Technology of the Philippines
Author:
N/A
Target audience:
Government bodies, research institutions, international cooperation teams
Duration:
2-3 years
Approval date:
2024
Amendment date:
N/A
Year:
2023
Region / city:
United Kingdom
Topic:
Product Information, Regulatory Submissions
Document Type:
Checklist
Organization / Institution:
Human Medicines Regulations
Note:
Author
Target Audience:
Applicants for MAAs
Year:
2024
Region / City:
Massachusetts
Subject:
Healthcare Transition, Acute Care, Post-Acute Care
Document Type:
Report
Institution:
Massachusetts Executive Office of Health and Human Services
Author:
Task Force Members
Target Audience:
Healthcare Providers, Policymakers, Legislators
Period of Effect:
2024–2025
Approval Date:
July 31, 2025
Amendment Date:
None
Year:
2023
Note:
Region / city
Subject:
Bioequivalence studies
Document type:
Checklist
Target audience:
Applicants submitting bioequivalence studies and biowaivers