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FACILITY Nameable Family Home Information Changes Did facility information change? License NUMBERNoIf yes, complete applicable change(s) below. NEW FACILITY NAME (ATTACH LETTER FROM LICENSEE AND COPY
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Start by gathering all necessary documents and information for the application process.
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Undergo any necessary inspections or evaluations of the home to ensure it meets the required standards.
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Adults who require assistance with daily activities and personal care due to physical or cognitive limitations.
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Adult family home is a residential home that provides housing and personal care services for elderly or disabled individuals.
Anyone operating an adult family home is required to file.
To fill out adult family home, the operator must provide information about the residents, services offered, and any incidents that occur.
The purpose of adult family home is to provide a homelike environment for individuals who need assistance with daily living activities.
Information such as resident demographics, care services provided, and any incidents or accidents that occur must be reported on adult family home.
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