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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F-62418 (Rev. 09/11) STATE OF WISCONSIN Chapter 946.32, Wis. Stats. ADULT DAY CARE INITIAL CERTIFICATION APPLICATION In accordance with
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An adult day care application is a formal request submitted by individuals or organizations seeking to operate an adult day care program, which provides care and supervision for adults who may require assistance during the day.
Individuals or organizations that wish to open and operate an adult day care facility must file an adult day care application to demonstrate compliance with local regulations and obtain the necessary licenses.
To fill out an adult day care application, you typically need to provide detailed information about the facility, such as its location, staff qualifications, services offered, safety protocols, and operational policies, along with any required supporting documentation.
The purpose of an adult day care application is to ensure that the facility meets health, safety, and regulatory standards, thereby ensuring the well-being of the individuals who will be served.
Essential information that must be reported on an adult day care application includes the facility’s address, contact information, ownership details, financial information, program description, staff qualifications, and health and safety measures.
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