Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota

Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota

What Is Form DHS-7652N-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHS-7652N-ENG?
A: DHS-7652N-ENG is a self-monitoring checklist for Licensed HCBS Providers in Minnesota.

Q: What is the purpose of the checklist?
A: The checklist is used to assess the physical environment of community residential settings.

Q: Who should use this checklist?
A: Licensed HCBS Providers in Minnesota should use this checklist.

Q: What does HCBS stand for?
A: HCBS stands for Home and Community-Based Services.

Q: Why is the physical environment important for community residential settings?
A: The physical environment plays a crucial role in ensuring the health, safety, and well-being of individuals in community residential settings.

Q: What does the checklist assess?
A: The checklist assesses various aspects of the physical environment, such as accessibility, safety features, cleanliness, and maintenance.

Q: Is this checklist specific to Minnesota?
A: Yes, this checklist is specific to community residential settings in Minnesota.

Q: Is this checklist mandatory for licensed HCBS Providers?
A: Yes, this checklist is mandatory for licensed HCBS Providers in Minnesota.

Q: Who regulates licensed HCBS Providers in Minnesota?
A: Licensed HCBS Providers in Minnesota are regulated by the Minnesota Department of Human Services.

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Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DHS-7652N-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota

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  • Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota, Page 1
  • Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota, Page 2
  • Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota, Page 3
  • Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota, Page 4
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  • Form DHS-7652N-ENG Self-monitoring Checklist for Licensed Hcbs Providers: Physical Environment for Community Residential Setting - Minnesota, Page 6
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