Characteristic roster dshs
http://www.whca.org/wp-content/themes/whca/weeklyupdate/alforms.pdf WebDSHS 10-362A (02/2024) Page 1 of 2. CONFIDENTIAL INFORMATION – DO NOT DISCLOSE NOT FOR PUBLIC DISCLOSURE . ALF Resident Characteristic Roster and Sample Selection Addendum Attachment D . ALF NAME . LICENSE NUMBER INSPECTION DATE RESIDENT ROOM ADMIT DATE RESIDENT ID NUMBER …
Characteristic roster dshs
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WebAssistant Director of Dietetics. Assistant Hospital Administrator. Assistant Seamer. Associate Accounting Analyst. Associate Administrative Analyst (Accounting Systems) … WebResident assessed as meeting the definition of medically fragile per WAC: A chronic and complex physical condition which results in prolonged dependency on specialized …
WebDSHS 10-362 (10/2004) BOARDING HOME RESIDENT CHARACTERISTIC ROSTER ATTACHMENT D TOTAL CENSUS: BOARDING HOME NAME: LICENSE NUMBER: INSPECTION DATE: LICENSOR NAME: Inspection Type: Initial Full Follow up Monitoring Complaint: # s Resident Room h Admit Date s e is Name s) ion in s ing The ue V d n-n s … WebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment N (Contract Requirements) (DSHS 10-372) Attachment O (Environmental Observations for Contract Requirements) (DSHS 10-373) Attachment P (Food Service Observations) (DSHS 10-486) PROCEDURES. The Licensor will:
WebOct 1, 2024 · Download Printable Dshs Form 10-369 Attachment K In Pdf - The Latest Version Applicable For 2024. Fill Out The Assisted Living Facility Resident Characteristic Roster And Sample Selection - Washington Online And Print It Out For Free. Dshs Form 10-369 Attachment K Is Often Used In Washington State Department Of Social And … WebAssisted Living Survey/Certification Forms UPDATED and CURRENTLY BEING USED 1. Attachment A (Pre-Inspection Preparation) (DSHS 10-359) 2. Attachment B (Request For Documentation) (DSHS 10-360) 3. Attachment C (Resident List) (DSHS 10-361) 4. Attachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) 5. …
http://www.whca.org/wp-content/themes/whca/weeklyupdate/alforms.pdf
WebNote: Maintaining a Resident Characteristic Roster, DSHS 10-362 form, ... Learn more. Try more PDF tools. Edit & Annotate. Edit PDF. Add Fillable Fields. Create PDF. Insert and Merge. Add Page Numbers. Rotate Pages. Delete Pages. Convert. Word to PDF. TXT to PDF. HTML to PDF. CSV to PDF. PPT to PDF. RTF to PDF. JPG/JPEG to PDF. PNG to … ge microwave under cabinet jnm154Web(Attachment C-only required if no Resident Characteristic Roster provided) Within two (2) hours of entry of facility * Note: Maintaining a Resident Characteristic Roster, DSHS 10-362 form, could expedite the amount of time licensors have to be onsite for an inspection. dds informáticahttp://www.ageiahealthservices.net/forms/Attachment%20D%20RESIDENT%20CHARACTERISTICS%20ROSTER.pdf ddsi new adventuresWebCompleted Resident Characteristic Roster/Sample Selection (Attachment D). Completed list of staff with names, position, hire date, and month/day of birth (Attachment K). Request a copy of evidence of liability insurance coverage from the licensee/administrator. Request a copy of the disclosure form to identify the scope of care and services. ge microwave under counterWebcharacteristic roster, staff list, chart notes, medication administration records, Allegation Summary: 1) COVID positive test for a staff member. Record review showed the facility was screening staff upon start of shift. Observations showed the facility beauty salon was in operation during outbreak and staff were not wearing appropriate eye ... ge microwave turns on when door opensWebDSHS RCS REGION 3 Completion Date December I l, 2024 Statement of Deficiencies Plan of Correction Page I of 5 PO Box 98907, Lakewood, WA 98496 ... Review of the Resident Characteristic Roster dated 12/04/19 showed Resident #1 was admitted —17. Review of the care plan dated 08/20/19 showed Resident #1 was to the ALF on iagnosis. ge microwave turntable doesn\u0027t turnWebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment E (Resident Group Meeting) (DSHS 10-363) PROCEDURES. The Licensors … ge microwave tripping circuit breaker