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DSS23a (E) 08/30/2021 page 1 of 2 PATHWAY HOME Program Application Applicant Information Pathway Home Applicant Names: Cash Assistance Case Number:CARES Case Number:Referral Source Program:_Referral
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How to fill out assisted livingadult family care
How to fill out assisted livingadult family care
01
Contact the assisted living adult family care facility to inquire about availability and schedule a tour.
02
Complete an application for admission, providing necessary personal information and medical history.
03
Meet with staff to discuss care needs, preferences, and any special accommodations required.
04
Review and sign the resident agreement outlining fees, services, and house rules.
05
Settle financial arrangements for payment of care services.
06
Move in to the assisted living adult family care facility and get settled into your new living space.
Who needs assisted livingadult family care?
01
Elderly individuals who require assistance with activities of daily living such as bathing, dressing, and medication management.
02
Individuals with physical or cognitive impairments who need a safe and supportive living environment.
03
Family members who are unable to provide full-time care for their loved ones and are seeking a professional caregiving option.
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What is assisted living/adult family care?
Assisted living/adult family care is a type of residential care for elderly or disabled individuals who require assistance with activities of daily living.
Who is required to file assisted living/adult family care?
The owners or operators of assisted living/adult family care facilities are required to file.
How to fill out assisted living/adult family care?
Assisted living/adult family care forms can typically be filled out online or submitted in paper form to the appropriate regulatory agency.
What is the purpose of assisted living/adult family care?
The purpose of assisted living/adult family care is to provide a home-like environment with supportive services for individuals who need assistance with daily activities.
What information must be reported on assisted living/adult family care?
Information such as resident demographics, care services provided, staffing ratios, and facility compliance with regulations must be reported on assisted living/adult family care forms.
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