Get Zero Deficiency Green Survey From The Adph Form

This guide provides a comprehensive walkthrough for successfully completing the Zero Deficiency Green Survey From The Adph Form online. Users can expect clear, step-by-step instructions to simplify the process and ensure all necessary information is accurately submitted.

Follow the steps to complete the form efficiently.

1. Click the ‘Get Form’ button to access the Zero Deficiency Green Survey From The Adph Form and open it in your preferred editor.
2. Begin by filling out the Facility Name, Street Address, City, Zip Code, and Phone Number. This information helps identify the assisted living facility being surveyed.
3. Next, input the Surveyor Name(s) and Title. Ensure that the names are spelled correctly as they will be associated with the survey results.
4. Indicate the Facility Type by selecting from the categories available such as Family, Group, or Congregate. This classification will affect the specific requirements referenced in the survey.
5. Record the Survey Exit Date and Last Survey Date. Accurate dates help track compliance across surveys for the facility.
6. Enter the Census, which represents the number of residents currently in the facility. This data is crucial for evaluating facility capacity and staffing levels.
7. Review the items listed under the Deficiency Log section, which outlines items representing the Licensing Standards for Assisted Living Facilities. Mark each requirement as 'Met' or 'Not Met' based on your assessment.
8. For each item marked 'Not Met', provide a brief description of the issues identified to clarify the deficiencies found during the survey.
9. Before finalizing, double-check all entries for accuracy. Once satisfied with the information provided, save your changes.
10. You may then download, print, or share the completed form as needed for your records or submissions.

Complete your documents online today to ensure compliance with assisted living facility standards.