DSHS Form 21-065 Adult Family Home (Afh) Emergency Evacuation Drill - Washington

DSHS Form 21-065 Adult Family Home (Afh) Emergency Evacuation Drill - Washington

What Is DSHS Form 21-065?

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 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.

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Form Details:

  • Released on August 1, 2021;
  • 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 21-065 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 21-065 Adult Family Home (Afh) Emergency Evacuation Drill - Washington

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