This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 10-617 Attachment G?
A: DSHS Form 10-617 Attachment G is a worksheet related to the Certified Community Residential Services and Supports program in Washington.
Q: What does CCRSS stand for?
A: CCRSS stands for Certified Community Residential Services and Supports.
Q: What is the purpose of the Home Environment and Safety Worksheet?
A: The purpose of the Home Environment and Safety Worksheet is to assess the safety and suitability of a residential setting for individuals receiving CCRSS services in Washington.
Q: Who is required to fill out the Home Environment and Safety Worksheet?
A: Providers of CCRSS services in Washington are required to fill out the Home Environment and Safety Worksheet.
Q: What information does the Home Environment and Safety Worksheet gather?
A: The Home Environment and Safety Worksheet gathers information about the physical condition of the home, safety measures in place, accessibility, and other factors that may impact the well-being of individuals in the CCRSS program.
Q: Are there any specific requirements for the home environment in the CCRSS program?
A: Yes, the home environment must meet certain health and safety standards outlined by the Washington State Department of Social and Health Services.
Q: Who can I contact for more information about the CCRSS program and the Home Environment and Safety Worksheet?
A: You can contact the Washington State Department of Social and Health Services or the local CCRSS program office for more information about the program and the Home Environment and Safety Worksheet.
Form Details:
Download a printable version of DSHS Form 10-617 Attachment G by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.