FY 2010-2012 Contract Assessments
Assessment forms to be completed by successful social and nutrition services applicants.
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FY12 Assessment Instructions
105.98 KB, application/msword
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Programmatic Self-Assessment Guide for Social and Nutrition Services
158.21 KB, application/msword
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FY 2011 Nutrition Site Assessment
143.87 KB, application/msword
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Self-Assessment Guide for Adult Day Health Services
175.62 KB, application/msword
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General Compliance Tool
353.79 KB, application/msword
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Service Specific Compliance Section: Home Delivered Meals
175.10 KB, application/msword
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Service Specific Compliance Section: Congregate Meals
185.86 KB, application/msword
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Service Specific Compliance Section: Chore
128.00 KB, application/msword
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Service Specific Compliance Section: Home Injury Control
174.59 KB, application/msword
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Service Specific Compliance Section: Legal Assistance
145.92 KB, application/msword
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Service Specific Compliance Section: Long-Term Care Ombudsman/Advocacy
146.43 KB, application/msword
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Service Specific Compliance Section: Resource Advocacy
108.54 KB, application/msword
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Service Specific Compliance Section: Prevention of Elder Abuse, Neglect and Exploitation
98.30 KB, application/msword
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Service Specific Compliance Section: Assistance to the Hearing Impaired and Deaf
95.74 KB, application/msword
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Service Specific Compliance Section: Vision Services
126.46 KB, application/msword
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Service Specific Compliance Section: Grandparents Raising Grandchildren
99.33 KB, application/msword
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Service Specific Compliance Section: Nutrition Program General Requirments
209.41 KB, application/msword - In addition to the service specific standards for Home Delivered Meals (HDM) and Congregate Meals, Nutrition Programs must comply with the General Nutrition Requirements as well as the In-Home Service Requirements cited for HDM and Adult Day Service Provision of Title III-C meals under the Nutrition Services: Congregate Meal program.
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Service Specific Compliance Section: Adult Day Health Services
664.06 KB, application/msword
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Service Specific Compliance Section: Volunteer Caregiver
135.68 KB, application/msword
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Service Specific Compliance Section: Disease Prevention/Health Promotion
121.86 KB, application/msword

