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Get Adult Family Home Initial Licensure Checklist, F-62671. 1100

Ity County Reviewer A completed application includes submission of all the items in Section A, as well as review of the items by an assisted living surveyor to ensure compliance with applicable regulations. A. A completed application contains the following: 1. Completed DQA form F-60945, AFH Initial License Application. Verify that the licensee is 21 years old. 2. Background check completed by Office of Caregiver Quality on the licensee and all non-residents age 10 and older 3. Floor pl.

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