№ lp_2_1_01959
File format: docx
Character count: 13135
File size: 75 KB
Administrative inspection and interview forms used by the Aging and Long-Term Support Administration Residential Care Services to assess compliance, safety conditions, and facility requirements for approving an Adult Family Home capacity increase in Washington State.
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
Price: 8 / 10 USD
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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:
2026
Region / City:
Washington State, USA
Document Type:
Inspection Checklist / Pre-Inspection Guidance
Organization:
Aging and Long-Term Support Administration (ALTSA)
Target Audience:
Assisted Living Facility Administrators and Staff
Inspection Type:
Full, Follow-up, Complaint
Required Documentation:
Resident lists, staff records, schedules, policies, menus, disaster plans, insurance evidence
Confidentiality:
Contains sensitive resident information, not for public disclosure
Attachments:
A, B, C, E
Year:
2023
Region / City:
United Kingdom
Topic:
Food hygiene and safety
Document type:
Checklist
Organization:
Food Standards Agency
Author:
Not specified
Target audience:
Food businesses
Period of validity:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Year:
2018
Region / City:
Not specified
Theme:
Marine machinery, steering gear inspection
Document type:
Technical check sheet
Organization / Institution:
Mitsubishi Heavy Industries Marine Machinery & Equipment Co., Ltd.
Author:
S. Dobashi
Target Audience:
Technical personnel, engineers
Period of validity:
Not specified
Approval date:
2018-01-23
Date of modifications:
Not specified
Note:
Year
Subject:
Organic inspection documentation
Document type:
Checklist
Organization / Institution:
OTCO
Target audience:
Agricultural operations
Focus:
Health & Safety Including Risk Assessment, Emergency Evacuation and Transport
Thematic Area:
Health and Safety in Early Years Settings
Document Type:
Pre-inspection Support Visit Guidance
Subject:
Risk Assessment, Fire Safety and Emergency Procedures
Target Setting:
Early Years Settings including Group Provision and Childminding with Assistants
Intended Audience:
Providers, Managers and Staff in Early Years Settings
Regulatory Context:
Compliance with Health and Safety Requirements
Key Components:
Risk Assessment, Fire Control Measures, Emergency Evacuation, Equipment Safety, Staff Training
Referenced Resources:
Risk Assessment Guidance and Resource; HSE Publication INDG163; Product Recall Campaigns
Geographical Scope:
United Kingdom
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.
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
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.