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Date of form: 12292021AHRCNYC COVID-19 SAFETY PLAN DEPARTMENT: Adult Day Services NAME OF FACILITY/PROGRAM: Kings Highway ADC ADDRESS: 355 Kings Highway, Brooklyn NY 11223DATE THIS PLAN WAS WRITTEN:
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How to fill out department adult day services
How to fill out department adult day services
01
Obtain the necessary forms from the Department of Adult Day Services.
02
Fill out the personal information section with the participant's name, address, contact information, and emergency contact.
03
Provide details about the participant's medical history, including any current medications and medical conditions.
04
Indicate the days and hours that the participant will be attending the adult day services program.
05
Sign and date the form, acknowledging that all information provided is accurate and complete.
Who needs department adult day services?
01
Adults who require supervision and assistance during the day due to physical or cognitive impairments.
02
Caregivers who need respite care for their loved ones in order to attend to other responsibilities.
03
Individuals who can benefit from socialization, recreational activities, and therapeutic services provided by the adult day services program.
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What is department adult day services?
Department adult day services provide care and support for older adults and individuals with disabilities during the day.
Who is required to file department adult day services?
Facilities that offer adult day services are required to file department adult day services.
How to fill out department adult day services?
Department adult day services can be filled out online or submitted in person at the designated office.
What is the purpose of department adult day services?
The purpose of department adult day services is to provide a safe and engaging environment for adults in need of care during the day.
What information must be reported on department adult day services?
Information such as number of participants, services provided, staff qualifications, and safety procedures must be reported on department adult day services.
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