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.
Q: What is the DHS-7652O-ENG checklist?
A: The DHS-7652O-ENG checklist is a self-monitoring checklist for licensed HCBS providers.
Q: What is the purpose of the checklist?
A: The purpose of the checklist is to assess the physical environment of a day service facility for licensed HCBS providers in Minnesota.
Q: Who needs to complete the checklist?
A: Licensed HCBS providers in Minnesota need to complete the checklist.
Q: What does HCBS stand for?
A: HCBS stands for Home and Community-Based Services.
Q: What aspects of the physical environment does the checklist cover?
A: The checklist covers aspects such as cleanliness, safety, accessibility, and compliance with regulations.
Q: Is the completion of the checklist mandatory?
A: Yes, it is mandatory for licensed HCBS providers in Minnesota to complete the checklist.
Q: What happens if a day service facility does not pass the checklist?
A: If a day service facility does not pass the checklist, it may be required to make improvements to address the identified deficiencies.
Form Details:
Download a printable version of Form DHS-7652O-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.