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DSHS Form 13-645 Adult Family Home Injuries and Accidents Log - Washington
What Is DSHS Form 13-645?
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.
FAQ
Q: What is DSHS Form 13-645?A: DSHS Form 13-645 is a log used to document injuries and accidents that occur in adult family homes.
Q: What is an adult family home?A: An adult family home is a residential facility that provides care to a small number of elderly or disabled adults.
Q: Why is it important to log injuries and accidents in adult family homes?A: Logging injuries and accidents is important for tracking incidents, identifying trends, and ensuring the safety and well-being of residents.
Q: Who uses DSHS Form 13-645?A: Adult family home staff and administrators use DSHS Form 13-645 to document injuries and accidents.
Q: Do I need to submit DSHS Form 13-645 to the DSHS office?A: Yes, completed DSHS Form 13-645 logs need to be submitted to the DSHS office as part of the regular reporting requirements for adult family homes.
Q: Are adult family homes regulated in Washington?A: Yes, adult family homes in Washington are regulated by the Washington State Department of Social and Health Services.
Q: What types of injuries and accidents should be recorded in the log?A: All significant injuries and accidents, including falls, medication errors, and other incidents, should be recorded in the log.
Q: Can family members access the log?A: Family members of residents in adult family homes can request access to the log, as it contains important information about the care and safety of their loved ones.
Q: How long should the log entries be kept?A: Log entries should be kept for a minimum of three years and can be longer if required by the adult family home's policies or regulations.
Form Details:
- Released on February 1, 2014;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 13-645 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Washington State Department of Social and Health Services.
