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:
  1. ADL Estimation Guide
  2. Adult Foster Home Mobility Access Assessment
  3. Background form.pdf
  4. Cash Resource Procedure For Adult Foster Care
  5. Cash Resources Record
  6. Fact Sheet
  7. Fire Marshall Request new
  8. Guidlines and Timelines
  9. Home Safety Checklist for Community Residental Settings
  10. Homes Plus Resident Personal Record
  11. Incident Reports
  12. Individual Abuse Prevention Assessment and Plan
  13. Individual Resident Emergency Escape Plan
  14. Individual Resident Placement Agreement
  15. Individual Resident Placement Agreement-Respite
  16. Initial Contact Screening Form
  1. Injectable Medication Administration Authorization
  2. Medical Records Request Authorization to Release Confidential Information
  3. Medication Assistance For AFC Residents
  4. Medication Information Sheet
  5. Medication Record and Assistance Administration Authorization
  6. Medication Record Instructions and Form
  7. New Corporate Adult Foster Care Application
  8. Physicians Visit Order Form
  9. Release of Information
  10. Resident Information and Discharge Form
  11. Resident Records Checklist
  12. Resident Rights for Adult Foster Care Programs
  13. Residents Personal Possessions Inventory
  14. Residents Progress Notes Incident Report
  15. Workcomp Law