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Adult Family Home License Application INSTRUCTIONS When completing this application you must: Type or print clearly in BLUE or BLACK ink. Answer all questions or mark N A” if the question does not
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How to fill out afh license in pensylvania

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How to fill out afh license in Pennsylvania:

01
Determine the type of AFH license you need: There are different types of AFH licenses available in Pennsylvania, such as personal care home, assisted living residence, or independent living facility. It is important to identify the specific license you require.
02
Contact the Pennsylvania Department of Human Services (DHS): Reach out to the DHS to obtain the necessary application forms. They will provide you with the required paperwork and guide you through the application process.
03
Gather the required documents: The application will typically require documents such as proof of ownership or lease agreement for the facility, floor plans, financial statements, background checks for the staff, policies and procedures, and documentation of any required certifications or trainings.
04
Complete the application forms: Fill out all the necessary information accurately and thoroughly. Follow the instructions provided by the DHS while completing the forms. Take your time to ensure all sections are properly filled in.
05
Submit the application: Once you have completed the forms and gathered all the required documents, submit your application to the DHS. Make sure to keep copies of all the submitted materials for your records.

Who needs afh license in Pennsylvania:

01
Individuals planning to operate a personal care home: The AFH license is required for those who intend to provide personal care services, assistance with activities of daily living, and supervision to individuals in need.
02
Operators of assisted living residences: If you plan to offer housing and supportive services to individuals who require assistance with activities of daily living but do not need skilled nursing care, an AFH license is necessary.
03
Owners of independent living facilities: In some cases, independent living facilities may also require an AFH license if they offer additional services beyond housing, such as meals, housekeeping, or transportation.
It is essential to consult with the Pennsylvania Department of Human Services for specific details regarding who needs an AFH license in Pennsylvania, as requirements may vary based on the type of facility and services provided.
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In Pennsylvania, AFH stands for Adult Family Home. It is a type of residential care facility that provides housing and personal care services for older adults or individuals with disabilities.
Any individual or entity that operates an Adult Family Home in Pennsylvania is required to file for an AFH license.
To fill out an AFH license in Pennsylvania, you must submit an application form along with necessary documentation and pay the required fees.
The purpose of an AFH license in Pennsylvania is to ensure that Adult Family Homes meet certain standards of care and safety for their residents.
The information that must be reported on an AFH license in Pennsylvania includes the name and address of the facility, the types of services provided, and the number of residents allowed.
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Related Links

Assisted Living Residence Licensing
Complaints related to Assisted Living Residences can be submitted via the BHSL online complaint form or by emailing ra-pwarlcomplaints@pa.gov or calling ...
Starting Up an Adult Family Home | Wisconsin Department of Health ...
Thank you for your interest in licensure as an Adult Family Home (AFH) for 3 or 4 ... In addition to a signed AFH License Initial Application Form (F-60945) (Word, ...
AFH Applications | Washington State Department of Social and ...
Please ensure you are using the current AFH License Application (DSHS 10-410 ). Effective February 1, 2015, applications received with a revision date other ...

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