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License Number RESIDENT WEIGHT RECORD Michigan Department of Licensing and Regulatory Affairs Adult Foster Care Licensing Division INSTRUCTIONS: 1. The residents weight is to be recorded at the time.

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How to fill out the Adult Foster Care Licensing Forms online

Filling out the Adult Foster Care Licensing Forms is an essential step in ensuring proper care and compliance within the adult foster care system. This guide will walk you through the process, providing clear and supportive instructions for each section of the form.

Follow the steps to complete the licensing forms with ease.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the resident's name in the specified fields. Enter the last name first, followed by the first and middle names.
  3. Provide the facility name and its complete address in the designated area.
  4. Record the resident's weight at the time of admission in the appropriate field, along with the date it was taken (month/day/year).
  5. Indicate any unusual or significant weight changes in the comments section to explain the circumstances if necessary.
  6. Fill in the physician's name responsible for the resident's care.
  7. If desired, you may include the resident’s height in the optional height field.
  8. Ensure to also fill in the subsequent monthly weight updates along with the respective dates for consistency.
  9. Once completed, review all entries for accuracy, and make any necessary edits.
  10. Save changes, download, print, or share the form as needed to ensure compliance and record-keeping.

Start filling out your Adult Foster Care Licensing Forms online today!

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ing to Genworth, the median monthly cost of a private room in a nursing home in Michigan is about $9,300. The median monthly cost of a semi-private room in a nursing home is around $8,400.

National Median Costs of Nursing Home Care in 2023 Room typeDailyMonthlySemiprivate room$260$7,908Private room$297$9,034 Mar 22, 2023

Family Home: Capacity: 1-6 – licensee resides on-site; Congregate: Capacity Greater than 20; County Infirmary: Capacity Greater than 20; Large Group: Capacity: 13 – 20; Medium Group: Capacity: 7-12; Small Group: Capacity: 1-6 – may reside off-site; Home for the Aged: A supervised personal care facility, that provides ...

Seniorly estimated pricing for Price Adult Foster Care Home starts at $3,026 per month, which is below $3,400, the average monthly cost of board and care homes in Bellevue, MI. Exact pricing depends on care needs and floor plans .

You must provide a Medical Clearance Request (BCAL 3704-AFC), or its equivalent, completed by a licensed physician or their designee for each license applicant and each responsible person. It cannot be dated more than 6 months prior to license issuance.

Adult Foster Care (AFC) homes are licensed residential settings that provide 24-hour personal care, protection, and supervision for individuals who are developmentally disabled, mentally ill, physically handicapped or aged who cannot live alone but who do not need continuous nursing care.

Special Note: The State of Michigan does not license assisted or independent living facilities. Please note, however, that a Home for the Aged or Adult Foster Care Home license may be required if the level of care provided at the facility meets the licensing requirements of one of these license types.

Pricing by room type Room typesAverage monthly costShared Suite$3,324Private Suite$3,988

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