DSHS Form 09-995 Companion Home Evaluation and Review - Washington

What Is DSHS Form 09-995?

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.

FAQ

Q: What is DSHS Form 09-995?
A: DSHS Form 09-995 is the Companion Home Evaluation and Review form used in Washington.

Q: What is a Companion Home?
A: A Companion Home is a licensed home where individuals with disabilities live and receive support.

Q: Who uses DSHS Form 09-995?
A: DSHS Form 09-995 is used by professionals who conduct evaluations and reviews of Companion Homes in Washington.

Q: What is the purpose of the form?
A: The purpose of DSHS Form 09-995 is to assess the compliance of Companion Homes with licensing requirements and ensure the well-being of the individuals living in these homes.

Q: What information is included in the form?
A: The form includes sections for documenting the evaluation of the companion home, including information on the home environment, staffing, and individual resident needs.

Q: How often is the form filled out?
A: The form is typically filled out during initial licensing evaluations and then periodically during ongoing reviews and inspections of Companion Homes in Washington.