This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 10-365 Attachment G for the current year.
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 10-365 Attachment G?
A: DSHS Form 10-365 Attachment G is a document used for conducting an interview with residents of assisted living facilities in Washington.
Q: What is the purpose of the interview?
A: The purpose of the interview is to gather information about the resident's experience and satisfaction with the facility.
Q: Who conducts the interview?
A: The interview is typically conducted by a representative from the Department of Social and Health Services (DSHS) or a designated individual.
Q: What kind of questions are asked during the interview?
A: The interview includes questions about the resident's overall satisfaction, quality of care, social activities, and any concerns or complaints they may have.
Q: Is the interview mandatory?
A: Yes, the interview is mandatory for residents of assisted living facilities in Washington as part of the facility's licensing requirements.
Q: Can family members participate in the interview?
A: Yes, family members are encouraged to participate in the interview to provide additional insights and perspectives.
Q: How often is the interview conducted?
A: The interview is typically conducted annually, but it may be conducted more frequently if there are specific concerns or issues raised.
Q: What happens after the interview?
A: The information gathered from the interview is used by DSHS to assess the quality of care provided by the facility and identify any areas for improvement.
Form Details:
Download a printable version of DSHS Form 10-365 Attachment G by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.