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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F02109D (08/2022) STATE OF WISCONSIN Wis. Admin. Code ch. DHS 88ADULT FAMILY HOME (AFH) NEW PROVIDER LICENSURE APPLICATION CHECKLIST Name
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An adult family home is a residential home that provides care and services to elderly or disabled individuals who are unable to live independently.
The owner or operator of an adult family home is required to file for licensing and comply with state regulations.
To fill out an adult family home application, you will need to provide information about the home's location, services offered, staff qualifications, and safety measures in place.
The purpose of an adult family home is to provide a safe and comfortable living environment for individuals who require assistance with daily activities and personal care.
Information that must be reported on an adult family home includes resident demographics, care plans, medication administration, and incident reports.
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