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Adult Foster Care Licensing
Adult Foster Care is a home setting for adults who are unable to live independently due to physical, emotional, developmental or mental health impairments. Residents receive meals, support, supervision, and some assistance with personal care and living skills as needed.
Forms:
Forms:
- ADL Estimation Guide
- Adult Foster Home Mobility Access Assessment
- Background form.pdf
- Cash Resource Procedure For Adult Foster Care
- Cash Resources Record
- Fact Sheet
- Fire Marshall Request new
- Guidlines and Timelines
- Home Safety Checklist for Community Residental Settings
- Homes Plus Resident Personal Record
- Incident Reports
- Individual Abuse Prevention Assessment and Plan
- Individual Resident Emergency Escape Plan
- Individual Resident Placement Agreement
- Individual Resident Placement Agreement-Respite
- Initial Contact Screening Form
- Injectable Medication Administration Authorization
- Medical Records Request Authorization to Release Confidential Information
- Medication Assistance For AFC Residents
- Medication Information Sheet
- Medication Record and Assistance Administration Authorization
- Medication Record Instructions and Form
- New Corporate Adult Foster Care Application
- Physicians Visit Order Form
- Release of Information
- Resident Information and Discharge Form
- Resident Records Checklist
- Resident Rights for Adult Foster Care Programs
- Residents Personal Possessions Inventory
- Residents Progress Notes Incident Report
- Workcomp Law