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DPHHS-QAD/CCL-020 (Revised 8-07) Department of Public Health and Human Services Quality Assurance Division Licensure Bureau Child Care Licensing Employee Cover Sheet Facility Name: Director Name:
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What is dphhs qadccl 50b form?
The dphhs qadccl 50b form is a document used by the Department of Public Health and Human Services (DPHHS) to collect information related to the care and treatment of individuals in assisted living facilities.
Who is required to file dphhs qadccl 50b form?
Assisted living facilities are required to file the dphhs qadccl 50b form.
How to fill out dphhs qadccl 50b form?
The dphhs qadccl 50b form must be filled out by providing accurate information about the residents in assisted living facilities, their care needs, and any incidents that have occurred.
What is the purpose of dphhs qadccl 50b form?
The purpose of the dphhs qadccl 50b form is to gather data on the quality of care provided in assisted living facilities and to ensure compliance with state regulations.
What information must be reported on dphhs qadccl 50b form?
The dphhs qadccl 50b form requires reporting of resident demographics, care needs and services provided, as well as any incidents or complaints.
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