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 21-065?
A: DSHS Form 21-065 is a form used for conducting emergency evacuation drills in Adult Family Homes (AFH) in Washington.
Q: What is an Adult Family Home (AFH)?
A: An Adult Family Home (AFH) is a residential facility that provides housing and care services for elderly or disabled individuals.
Q: Why is an emergency evacuation drill necessary in an Adult Family Home?
A: An emergency evacuation drill is necessary in an Adult Family Home to ensure the safety and preparedness of residents and staff in the event of an emergency.
Q: What is the purpose of DSHS Form 21-065?
A: The purpose of DSHS Form 21-065 is to document and record the details of emergency evacuation drills conducted in an Adult Family Home.
Q: Who is required to conduct emergency evacuation drills in an Adult Family Home?
A: Owners, operators, or designated staff of an Adult Family Home are required to conduct emergency evacuation drills.
Q: What information is required to be recorded on DSHS Form 21-065?
A: DSHS Form 21-065 requires recording information such as date and time of the drill, participants, evacuation route, time taken to evacuate, and any issues or concerns encountered during the drill.
Q: Is submitting DSHS Form 21-065 mandatory?
A: Yes, submitting DSHS Form 21-065 after conducting an emergency evacuation drill is mandatory for compliance with regulations in Washington.
Form Details:
Download a printable version of DSHS Form 21-065 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.