1.1 Overview 1.2 Adult Care Facility Types
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1 1.1 Overview 1.2 Adult Care Facility Types
2 1.3 Mission of the Community Care Licensing Division 1.4 Responsibility of Community Care Licensing Division
3 1.5 Prevention 1.6 Compliance
4 1.7 Enforcement 1.8 Application Process Overview
5 1.9 Application Orientation 1.10 Operations and Record Keeping Orientation
6 1.11 Face to Face Interview 1.12 Forms and Instructions
7 1.13 Certificate of Attendance 1.14 Adult and Senior Care Licensing Programs
8 1.15 Adult and Senior Care Licensing Offices 1.16 Adult and Senior Care Licensing Offices
9 1.17 Community Care Licensing Division 1.18 Inspection Authority
10 1.19 Who needs to be licensed? 1.20 When is a license required?
11 1.21 What is a Community Care Facility? 1.22 Adult Care Facility Clients and Residents
12 1.23 Elements of Care and Supervision 1.24 Elements of Care and Supervision, cont.
13 1.25 Unlicensed Facility Operation
14 2.1 Introduction 2.2 Adult Care Facility Types
15 2.3 Adult Residential Facilities (ARF) 2.4 Social Rehabilitation Facilities (SRF)
16 2.5 Residential Care Facilities for the Chronically Ill (RCFCI) 2.6 Adult Residential Facilities for Persons with Special Health Care Needs
17 2.7 Adult Day Programs (ADP) 2.8 Limits & Terms of a License
18 2.9 Sale of an Operating Adult Care Facility 2.10 Who is the licensee?
19 2.11 Licensee's Responsibility 2.12 Overconcentration
20 2.13 Conditional Use Permit 2.14 Fire Clearance
21 2.15 LIC Determining Ambulatory Status
22 2.17 Non Ambulatory Status 2.18 Bedridden Status
23 3.1 Personnel Requirements 3.2 Adult Care Personnel Requirements
24 3.3 Criminal Record Clearance Requirements 3.4 Criminal Record Exemptions
25 3.5 Administrator Qualifications and Responsibilities 3.6 Administrator Qualifications Adult Residential Care Facility
26 3.7 Administrator Qualifications Adult Day Program 3.8 Administrator Qualifications Social Rehabilitation Facility
27 3.9 Administrator Qualifications 3.10 Administrator Qualifications
28 4.1 Physical Plant Requirements 4.2 Physical Plant Requirements All Adult Residential Care Facilities
29 4.3 Physical Plant Requirements All Adult Residential Care Facilities 4.4 Physical Plant Requirements Adult Day Programs
30 4.5 Physical Plant Requirements All Adult Residential Care Facilities 4.6 Outdoor Activity Space
31 4.7 Food Service All Adult Residential Care Facilities except RCFCI 4.8 Food Service Residential Care Facilities for Chronically Ill (RCFCI)
32 4.9 Food Service Adult Day Programs
33 5.1 Completing the Application (Section A) 5.2 Completing the Application
34 5.3 Application Fees 5.4 Section A Documents
35 5.5 LIC LIC 215
36 5.7 LIC 215 (Page Two) 5.8 LIC 308
37 5.9 LIC LIC 309 (Page Two)
38 5.11 LIC LIC 402
39 5.13 LIC LIC 401a
40 5.15 Balance Sheet and Balance Sheet Supplemental Schedule 5.16 LIC 403a
41 5.17 LIC 403a 5.18 LIC 403
42 5.19 LIC LIC 500
43 5.21 LIC 500 (Page 2) 5.22 LIC 501
44 5.23 LIC 501 (Page Two) 5.24 LIC 503
45 5.25 LIC LIC 508 (Page Two)
46 5.27 LIC 610D 5.28 LIC 999
47 5.29 LIC 999 (Page Two) 5.30 LIC 9054
48 6.1 Completing the Application (Section B) 6.2 B6. Partnership Agreement and Articles of Incorporation
49 6.3 Partnership Applicants 6.4 Corporation Applicants
50 6.5 Out of State Corporation Applicants 6.6 Limited Liability Company Applicants (LLC)
51 6.7 Out of State Limited Liability Company Applicants (LLC) 6.8 B2. Verification of Administrator Qualifications
52 6.9 B3. Documentation is not required for this application 6.10 B4. Job Descriptions
53 6.11 B5. Personnel Policies and Hiring Practices 6.12 B5. Personnel Policies and Hiring Practices, cont.
54 6.13 B6. Required Training 6.14 B7. Facility Program Description
55 6.15 B7. Facility Program Description 6.16 B8. Discipline Policies
56 6.17 B9. Admission Policies Summary of Admission Policies 6.18 B9. Admission Policies Summary of Admission Policies
57 6.19 B9. Admission Agreement Contract with client 6.20 B9. Admission Agreement Contract with client
58 6.21 B10. Sample Menu 6.22 B16. Control of Property
59 6.23 B12. Bacteriological Analysis of Water 6.24 B13 and B14 Documentation is not required for this application
60 6.25 B15. Neighborhood Complaint Policy 6.26 B16. First Aid Card
61 6.27 B17. Orientation Certificates
62 7.1 Final Steps 7.2 Establish a Plan
63 7.3 Application Submission 7.4 Application Process
64 7.5 Application Denial 7.6 Congratulations
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