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The remainder of this page will be completed by DAAS. APPLICATION FOR CERTIFICATION TO PROVIDE ARCHOICES ADULT FAMILY HOMES AAS-9520 I. DHS/DAAS will send a form to each of your personal references as well as to those of your substitute caregivers. Provided to the client. Substitute Caregivers Also list specific dates and/or times when substitute caregivers will be utilized. Provide additional information regarding these caregivers. Date your license expires if applicable. CONTRACT DMS-653...
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Step 1: Gather all the necessary documents and information needed to fill out the application for an adult family home.
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Step 2: Start by providing basic information about the applicant, including their name, address, contact information, and social security number.
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Step 3: Indicate the type of adult family home being applied for, such as a new license or a change in ownership.
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Step 4: Provide details about the physical location of the adult family home, including the address and any relevant zoning information.
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Step 5: Fill out information about the management and staffing of the adult family home, including the names and qualifications of key personnel.
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Step 6: Provide a description of the services and care that will be offered in the adult family home.
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Step 7: Submit any required supporting documents, such as a floor plan, financial statements, and background checks for staff members.
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Step 8: Review the completed application for accuracy and completeness before submitting it to the appropriate regulatory agency.
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Step 9: Follow up with the regulatory agency to ensure that the application is being processed and address any additional requirements or inquiries.
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Step 10: Once the application is approved, fulfill any remaining requirements, such as attending training or inspections, to obtain the license for the adult family home.

Who needs adult family homes?

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Elderly individuals who require assistance with daily activities and personal care.
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Individuals with mental health conditions who may benefit from living in a supervised and structured environment.
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Community members who recognize the value and benefits of adult family homes in promoting overall well-being and quality of life.
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Adult family homes are residential homes that provide lodging, meals, and personal care services for elderly or disabled individuals who are unable to live independently.
Adult family home providers are required to file with the appropriate government agency in their jurisdiction.
To fill out adult family home paperwork, providers must provide detailed information about the facility, services offered, staff qualifications, and resident demographics.
The purpose of adult family homes is to provide a home-like environment for individuals who need assistance with daily living activities, such as bathing, dressing, and medication management.
Information that must be reported on adult family homes includes resident demographics, staff qualifications, services offered, and any incidents or complaints.
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